Individual provider Active NPI

Susan L Rhinelander, NP

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1104976349
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024164697 Issued in VA
Practice address
2401 Seaboard Rd Ste 105
Virginia Beach, VA 23456-3500
Phone
(757) 430-4270
Fax
(949) 695-3748
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP14814 CA
Family Nurse Practitioner 363LF0000X 0024164697 VA Primary

Addresses

Primary practice location

2401 Seaboard Rd Ste 105
Virginia Beach, VA 23456-3500

Mailing address

2401 Seaboard Rd Ste 105
Virginia Beach, VA 23456-3500
Phone (757) 430-4270

Other identifiers 2

IdentifierTypeStateIssuer
RN633860MedicaidCA
3001743669-0002MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230906001512 VA Practitioner - Nurse Practitioner 7113982158 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fearless Care LLC Family CurrentSince Nov 1, 2024 Accepting new patients
Denali Asthma and Pulmonary, LLC Past Accepting new patients
Pacific Emergency Providers, a Prof. Corp. Past Accepting new patients
Denali Healthcare Specialists LLC Past Accepting new patients

Locations

2401 Seaboard Rd
Ste 105
Virginia Beach, VA 23456
Phone (757) 430-4270

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20591/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1104976349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 SEABOARD RD STE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563500",
            "telephone_number": "757-430-4270",
            "fax_number": "949-695-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 SEABOARD RD STE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563500",
            "telephone_number": "757-430-4270",
            "fax_number": "949-695-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHINELANDER",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP14814",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024164697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN633860",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001743669-0002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.