Individual provider Active NPI

Suzanne Marie Noonan, AU.D., CCC-A, FAAA

  • Audiologist
  • Silver Spring, MD
National Provider Identifier
1114951944
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
770 Issued in MD
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1902342OtherMDUNITED HEALTHCARE PROV ID
241012OtherMDOPTIMUM CHOICE PROV ID
20420002OtherDCBCBS OF DC PROV ID
NOONANOtherVAINOVA PROVIDER ID
0814410OtherMDAETNA PROVIDER ID
241012OtherMDMDIPA PROVIDER ID
521981246002OtherMDCIGNA PROVIDER ID NUMBER
521981246DAOtherMDPREFERRED HEALTH NETWORK
095100500MedicaidMD
802624OtherMDJOHNS HOPKINS HC GROUP ID
241012OtherMDALLIANCE PPO PROV ID
L332HEOtherMDBCBS OF MD ALT. GROUP ID
0814410OtherMDUS HEALTHCARE PROV ID
241012OtherMDMAMSI PROVIDER ID
640002741OtherMDRAILROAD MEDICARE PROV ID
69280OtherMDAMERIGROUP PROVIDER ID
L117HEOtherMDBCBS OF MD GROUP ID

Other names 1

  • Miss Suzanne Marie Noonan-de Blij Former name

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

LicenseStateTypeSpecialty
770MDMDAssistive Technology Supplier Audiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Healthcare, Inc. Assistive Technology Practitioner CurrentSince Mar 20, 2025 Accepting new patients
Hearing Center of Wheaton, LLC Audiologist PastSince Aug 23, 1996 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.

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.

Verify at the official NPI Registry.