I have the same name everywhere except 123rf because when I started with them, they made the account and loaded images from DVD, so they made joannsnover and I'm jsnover everywhere else.
Many times you end up with different images at different sites because of differing editorial policies - SS likes raster illustrations and IS for the most part doesn't; DT has stringent restrictions on similars from a series, so they'll be missing images others have, and so on. If you do vectors, look at each site's pricing scheme to decide if you're happy with it. For all sites except iStock you can upload JPEGs from your vectors if you don't want to sell the vector originals.
I like to think that people would know my work even if I changed my user name from one site to the other

If a buyer shops at one or two sites - SS and IS, for example, it'd be nice to make it easy for them to find your portfolio wherever they're shopping that particular time.