Individual provider Active NPI

Suzanne Eva Leitner-Wise, E-RYT500

  • Health Maintenance Organization
  • Alexandria, VA
National Provider Identifier
1265031629
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Practice address
532 N Washington St Ste 100
Alexandria, VA 22314-2314
Phone
(703) 209-0049
NPI assigned
Oct 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

532 N Washington St Ste 100
Alexandria, VA 22314-2314

Mailing address

403 K St NE
Washington, DC 20002-3692
Phone (703) 209-0049

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

NPI Registry JSON

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

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1265031629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 K ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023692",
            "telephone_number": "703-209-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 N WASHINGTON ST STE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142314",
            "telephone_number": "703-209-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITNER-WISE",
        "first_name": "SUZANNE",
        "middle_name": "EVA",
        "name_prefix": "Mrs.",
        "credential": "E-RYT500",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-18",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; 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.