Individual provider Active NPI

Suzann Williams-Rosenthal, GNP

  • Gerontology Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1225192511
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0024166637 Issued in VA
Practice address
1215 Lee St
Box 800566
Charlottesville, VA 22908-0566
Phone
(434) 924-5689
Fax
(434) 243-2823
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 0024166637 VA Primary

Addresses

Primary practice location

1215 Lee St
Box 800566
Charlottesville, VA 22908-0566

Mailing address

1215 Lee St
Box 800566
Charlottesville, VA 22908-0566
Phone (434) 924-5689

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1225192511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "address_2": "BOX 800566",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080566",
            "telephone_number": "434-924-5689",
            "fax_number": "434-243-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "address_2": "BOX 800566",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080566",
            "telephone_number": "434-924-5689",
            "fax_number": "434-243-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-ROSENTHAL",
        "first_name": "SUZANN",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024166637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.