Individual provider Active NPI

Susan Frances Lelacheur, P.A.

  • Medical Physician Assistant
  • Washington, DC
National Provider Identifier
1225044704
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA11 Issued in DC
Practice address
1407 S St NW
Washington, DC 20009-3819
Phone
(202) 745-6133
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA11 DC Primary

Addresses

Primary practice location

1407 S St NW
Washington, DC 20009-3819

Mailing address

6101 16TH St NW
#425
Washington, DC 20011-1769
Phone (202) 994-6831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070614000427 DC Practitioner - Physician Assistant 4789782731 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Whitman-Walker Clinic Inc. CurrentSince Jun 1, 2006 Accepting new patients
Whitman-Walker Clinic, Inc CurrentSince Jun 1, 2006 Accepting new patients

Locations

1701 14th St NW
Washington, DC 20009
Phone (202) 745-7000

1734 14th St NW
Washington, DC 20009
Phone (202) 939-7801

1377 R St NW
Fl 2
Washington, DC 20009
Phone (202) 745-7000

1377 R St NW
Ste 200
Washington, DC 20009
Phone (202) 745-7000

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225044704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 16TH ST NW",
            "address_2": "#425",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111769",
            "telephone_number": "202-994-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 S ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200093819",
            "telephone_number": "202-745-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELACHEUR",
        "first_name": "SUSAN",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DC",
            "license": "PA11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.