Active NPI
Suzette Henahan, CRNA
- Certified Registered Nurse Anesthetist
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0001130309
- Practice address
- 11848 Rock Landing Dr
Newport News, VA 23606-4425 - Phone
- (757) 591-2260
- NPI assigned
- Apr 14, 2006
- Last updated
- Feb 13, 2017
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0001130309 | VA | Primary |
Addresses
Primary practice location
11848 Rock Landing Dr
Newport News, VA 23606-4425
Mailing address
150 Bluff Ave
North Augusta, SC 29841-3862
Phone (800) 394-4445
Other names 1
- Suzette Knudtson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
113 Gainsborough SQ
Suite 101
Chesapeake, VA 23320-1713
Phone (757) 436-3285
1717 Will O Wisp Dr
Suite 200
Virginia Beach, VA 23454-3102
Phone (757) 481-4817
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001130309 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current | Accepting new patients | |
| Capital Digestive Care LLC | Current | Accepting new patients | |
| Capital Digestive Care, LLC | Current | Accepting new patients | |
| Goodwin & Snyder Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Capital Digestive Care ,LLC | Current | Accepting new patients | |
| James River Comprehensive Pain Management | Past | Accepting new patients | |
| James River Anesthesia Assoc., Inc | Past | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210
113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285
150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944
241 Corporate Blvd
Norfolk, VA 23502
Phone (757) 362-3577
3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200
2000 Meade Pkwy
Suffolk, VA 23434
Phone (757) 539-0251
1717 Will O Wisp Dr
Ste 200
Virginia Beach, VA 23454
Phone (757) 481-4817
1925 Glenn Mitchell Dr
Ste 102
Virginia Beach, VA 23456
Phone (757) 464-1644
465 N Great Neck Rd
Virginia Beach, VA 23454
Phone (757) 481-5555
828 Healthy Way
Ste 210
Virginia Beach, VA 23462
Phone (757) 481-4817
5215 Monticello Ave
Williamsburg, VA 23188
Phone (757) 229-4000
Interoperability endpoints
- https://b9dda605-4d4e-4319-b477-73b223ba7709.gastro.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 10
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.
-
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1992752521
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1508813387
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1629637475
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Williamsburg, VA
- NPI 1508391129
Nurse Anesthetist, Certified Registered
-
dba Southampton Orthopaedic and Sports Medicine Center
- Durable Medical Equipment & Medical Supplies
- Franklin, VA
- NPI 1205451028
-
- Gastroenterology Physician
- Chesapeake, VA
- NPI 1225246812
-
- Gastroenterology Physician
- Temple Hills, MD
- NPI 1437997988
-
- Anesthesiology Physician
- Newport News, VA
- NPI 1982632980
-
- Specialist
- Newport News, VA
- NPI 1326065335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1225092232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 BLUFF AVE",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298413862",
"telephone_number": "800-394-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11848 ROCK LANDING DR",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064425",
"telephone_number": "757-591-2260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENAHAN",
"first_name": "SUZETTE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0001130309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUZETTE",
"last_name": "KNUDTSON",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newport News, VA
- Helping Other People's Enrichment, Inc. (The Family Center of Hope)
- Helping Wheels Transportation LLC
- Jessica Montgomery Helton, FNP
- Warren Bowman Helwig, MD
- Joshua Aaron Hemenway, DPT
- Gloria C Henderson, LMT
- Katherine Henderson, PTA
- Kendra Henderson, RBT
- Amir J Hendiani, M.D.
- Lisa Renee Hendrickson, COTA/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.