Active NPI
Suzanne M. Powers, M.D.
- Pediatrics Physician
- Reston, VA
National Provider Identifier
1194787531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101236986
- Practice address
- 1830 Town Center Dr
Suite # 205
Reston, VA 20190-3292 - Phone
- (703) 435-3636
- Fax
- (703) 435-9145
- NPI assigned
- Apr 3, 2006
- Last updated
- Jul 21, 2014
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101236986 | VA | Primary |
Addresses
Primary practice location
1830 Town Center Dr
Suite # 205
Reston, VA 20190-3292
Mailing address
1830 Town Center Dr
Suite # 205
Reston, VA 20190-3292
Phone (703) 435-3636
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101236986 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trusted Doctors LLC | Pediatrics | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Fairfax, VA
- NPI 1083793525
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405900800000",
"number": "1194787531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 TOWN CENTER DR",
"address_2": "SUITE # 205",
"city": "RESTON",
"state": "VA",
"postal_code": "201903292",
"telephone_number": "703-435-3636",
"fax_number": "703-435-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 TOWN CENTER DR",
"address_2": "SUITE # 205",
"city": "RESTON",
"state": "VA",
"postal_code": "201903292",
"telephone_number": "703-435-3636",
"fax_number": "703-435-9145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "SUZANNE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2014-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101236986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.