Active NPI
Susan V. Schloss, C.P.N.P.
- Pediatric Nurse Practitioner
- Virginia Beach, VA
National Provider Identifier
1114452141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0024166201
- Practice address
- 3960 Virginia Beach Blvd
Virginia Beach, VA 23452-2449 - Phone
- (757) 668-4648
- Fax
- (757) 668-4944
- NPI assigned
- Apr 27, 2017
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0024166201 | VA | Primary |
Addresses
Primary practice location
3960 Virginia Beach Blvd
Virginia Beach, VA 23452-2449
Mailing address
3960 Virginia Beach Blvd
Virginia Beach, VA 23452-2449
Phone (757) 668-4648
Other practice location 1
680 Oyster Point Rd
Newport News, VA 23606-4570
Phone (757) 668-4851
Other practice location 2
817 Volvo Pkwy
Chesapeake, VA 23320-2855
Phone (757) 668-4630
Other names 1
- Susan Diane Van Slyke
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Chesapeake, VA
- NPI 1578954590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1114452141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3960 VIRGINIA BEACH BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234522449",
"telephone_number": "757-668-4648",
"fax_number": "757-668-4944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3960 VIRGINIA BEACH BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234522449",
"telephone_number": "757-668-4648",
"fax_number": "757-668-4944"
}
],
"practiceLocations": [
{
"address_1": "680 Oyster Point Rd",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236064570",
"country_code": "US",
"telephone_number": "757-668-4851",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "817 Volvo Pkwy",
"address_purpose": "LOCATION",
"city": "Chesapeake",
"state": "VA",
"postal_code": "233202855",
"country_code": "US",
"telephone_number": "757-668-4630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHLOSS",
"first_name": "SUSAN",
"middle_name": "V.",
"credential": "C.P.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-27",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024166201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "VAN SLYKE",
"middle_name": "DIANE",
"credential": "C.P.N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.