Suzannah Ryan Stivison, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R193057 Issued in MD

Practice address

8401 Connecticut Ave
Suite 201
Chevy Chase, MD 20815-5803

Phone

(301) 907-3690

NPI assigned

Mar 20, 2012

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: suzannah.stivison.1@8042.direct.athenahealth.com

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1053686246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 CONNECTICUT AVE",
            "address_2": "SUITE 201",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208155803",
            "telephone_number": "301-907-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 CONNECTICUT AVE",
            "address_2": "SUITE 201",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208155803",
            "telephone_number": "301-907-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIVISON",
        "first_name": "SUZANNAH",
        "middle_name": "RYAN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R193057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven a. Burka, MD, PC
• Steven H. Bernstein, MD PA
• James Joseph Stevens Jr., D.D.S.
• Charles R Stewart, RDCS, RVT
• Robert William Stewart, M.D.
• Sharon Smith Stoliaroff, PH.D.
• Thomas Stringer, M.D., M.S.
• Suburban/NRH Rehabilitation Hospital, Inc.
• Susan A Sullivan, PT
• Lindsay Michelle Suls, PSY.D.

• Pediatric Nurse Practitioner in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.