Irenious Pognibal Suglo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024192023 Issued in VA

Practice address

99 Tremont St
Manassas Park, VA 20111-1800

Phone

(571) 242-4645

NPI assigned

Jan 21, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: irenious.suglo.1@29379.direct.athenahealth.com

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1295547933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13322 CARMELLA CT",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201361033",
            "telephone_number": "571-242-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 TREMONT ST",
            "city": "MANASSAS PARK",
            "state": "VA",
            "postal_code": "201111800",
            "telephone_number": "571-242-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGLO",
        "first_name": "IRENIOUS",
        "middle_name": "POGNIBAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024192023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graciela Sejas-Padilla
• Nasratu Sesay, LPN
• Ashley Mae Speier, PHARMD
• Dina Marie Spencer, RN
• Eugenia Rene Stokes, MA
• T James Batistas DDS PLLC
• Teaching Challenged Children
• Megumi Terakawa
• Transcend Behavioral Consulting
• Megan Underwood

• Family Nurse Practitioner in Manassas Park, VA
• Providers in Manassas Park, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.