Susanna Gertruida Van Zyl, RN

Primary specialty

Nutrition Support Registered NurseTaxonomy code 163WN1003X

License

RN157728 Issued in AZ

Practice address

8638 W Canterbury Dr
Peoria, AZ 85345-4163

Phone

(623) 203-2322

NPI assigned

Oct 22, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1033873377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8638 W CANTERBURY DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853454163",
            "telephone_number": "623-203-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8638 W CANTERBURY DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853454163",
            "telephone_number": "623-203-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ZYL",
        "first_name": "SUSANNA",
        "middle_name": "GERTRUIDA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "AZ",
            "license": "RN157728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sara Beth Van Atta, LMT
• Michelle Alexandra Vana, SLP
• Lenore Janis Vandergriend
• Tara Eden Vanderpool, RDH
• Savannah Vandervort
• Jennifer Lynn Vanyo-Novak, DO

• Registered Nurse in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.