Active NPI
Suzanne Lynne Nickel, FNP-C
- Family Nurse Practitioner
- Chesapeake, VA
National Provider Identifier
1023337714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024168781
- Practice address
- 3205 Churchland Blvd
Chesapeake, VA 23321-5205 - Phone
- (757) 484-7822
- Fax
- (757) 484-7362
- NPI assigned
- May 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024168781 | VA | Primary |
Addresses
Primary practice location
3205 Churchland Blvd
Chesapeake, VA 23321-5205
Mailing address
3205 Churchland Blvd
Chesapeake, VA 23321-5205
Phone (757) 484-7822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024168781 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274313600000",
"number": "1023337714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 CHURCHLAND BLVD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215205",
"telephone_number": "757-484-7822",
"fax_number": "757-484-7362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 CHURCHLAND BLVD",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215205",
"telephone_number": "757-484-7822",
"fax_number": "757-484-7362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKEL",
"first_name": "SUZANNE",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-20",
"last_updated": "2010-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024168781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.