Active NPI
Suzanne Vertrees Holt, CRNP
- Family Nurse Practitioner
- Falls Church, VA
National Provider Identifier
1124186036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024140024
- Practice address
- 201 N Washington St
Falls Church, VA 22046-4518 - Phone
- (703) 536-1500
- Fax
- (703) 536-1502
- NPI assigned
- Dec 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024140024 | VA | Primary |
| Registered Nurse | 163W00000X | 0001140024 | VA |
Addresses
Primary practice location
201 N Washington St
Falls Church, VA 22046-4518
Mailing address
2101 East Jefferson Street
Ppqa Medicare Compliance Unit 6
Rockville, MD 20852-4008
Phone (301) 816-6660
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1124186036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 EAST JEFFERSON STREET",
"address_2": "PPQA MEDICARE COMPLIANCE UNIT 6",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524008",
"telephone_number": "301-816-6660",
"fax_number": "301-816-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N WASHINGTON ST",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220464518",
"telephone_number": "703-536-1500",
"fax_number": "703-536-1502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "SUZANNE",
"middle_name": "VERTREES",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024140024",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001140024",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.