Active NPI
Suzanne Marie Noonan, AU.D., CCC-A, FAAA
- Audiologist
- Silver Spring, MD
National Provider Identifier
1114951944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 770
- Practice address
- 3913 Ferrara Dr
Silver Spring, MD 20906-4709 - Phone
- (301) 946-2434
- Fax
- (301) 946-2435
- NPI assigned
- Jul 10, 2006
- Last updated
- Oct 19, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 770 | MD | Primary |
| Assistive Technology Practitioner Audiologist | 231HA2400X | 770 | MD | |
| Assistive Technology Supplier Audiologist | 231HA2500X | 770 | MD | |
| Audiologist-Hearing Aid Fitter | 237600000X | 770 | MD |
Addresses
Primary practice location
3913 Ferrara Dr
Silver Spring, MD 20906-4709
Mailing address
525 Longhorn Cres
Rockville, MD 20850-5704
Phone (301) 926-2774
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902342 | Other | MD | UNITED HEALTHCARE PROV ID |
| 241012 | Other | MD | OPTIMUM CHOICE PROV ID |
| 20420002 | Other | DC | BCBS OF DC PROV ID |
| NOONAN | Other | VA | INOVA PROVIDER ID |
| 0814410 | Other | MD | AETNA PROVIDER ID |
| 241012 | Other | MD | MDIPA PROVIDER ID |
| 521981246002 | Other | MD | CIGNA PROVIDER ID NUMBER |
| 521981246DA | Other | MD | PREFERRED HEALTH NETWORK |
| 095100500 | Medicaid | MD | |
| 802624 | Other | MD | JOHNS HOPKINS HC GROUP ID |
| 241012 | Other | MD | ALLIANCE PPO PROV ID |
| L332HE | Other | MD | BCBS OF MD ALT. GROUP ID |
| 0814410 | Other | MD | US HEALTHCARE PROV ID |
| 241012 | Other | MD | MAMSI PROVIDER ID |
| 640002741 | Other | MD | RAILROAD MEDICARE PROV ID |
| 69280 | Other | MD | AMERIGROUP PROVIDER ID |
| L117HE | Other | MD | BCBS OF MD GROUP ID |
Other names 1
- Miss Suzanne Marie Noonan-de Blij
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 |
|---|---|---|---|
| 770 | MD | MD | Assistive Technology Supplier Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Healthcare, Inc. | Assistive Technology Practitioner | Current | Accepting new patients |
| Hearing Center of Wheaton, LLC | Audiologist | Past | Accepting new patients |
Locations
2403 Research Blvd
Ste 100
Rockville, MD 20850
Phone (301) 527-1123
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Assistive Technology Practitioner Audiologist
- Rockville, MD
- NPI 1720887979
-
dba Hearing HealthCare, Inc.
- Audiologist
- Silver Spring, MD
- NPI 1629471966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318982400000",
"number": "1114951944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 LONGHORN CRES",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208505704",
"telephone_number": "301-926-2774",
"fax_number": "301-946-2435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3913 FERRARA DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209064709",
"telephone_number": "301-946-2434",
"fax_number": "301-946-2435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOONAN",
"first_name": "SUZANNE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "AU.D., CCC-A, FAAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2011-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "770",
"primary": true
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "MD",
"license": "770",
"primary": false
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "MD",
"license": "770",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MD",
"license": "770",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE PROV ID",
"identifier": "1902342",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM CHOICE PROV ID",
"identifier": "241012",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF DC PROV ID",
"identifier": "20420002",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INOVA PROVIDER ID",
"identifier": "NOONAN",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "0814410",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA PROVIDER ID",
"identifier": "241012",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER ID NUMBER",
"identifier": "521981246002",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH NETWORK",
"identifier": "521981246DA",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "095100500",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS HC GROUP ID",
"identifier": "802624",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE PPO PROV ID",
"identifier": "241012",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MD ALT. GROUP ID",
"identifier": "L332HE",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE PROV ID",
"identifier": "0814410",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI PROVIDER ID",
"identifier": "241012",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PROV ID",
"identifier": "640002741",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP PROVIDER ID",
"identifier": "69280",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MD GROUP ID",
"identifier": "L117HE",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "NOONAN-DE BLIJ",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "MA, CCC-A, FAAA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.