Susan Sanford Eby, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN7016 Issued in TN

Practice address

3344 Sheffield CT
Falls Church, VA 22042-3522

Phone

(865) 254-3984

NPI assigned

Jul 15, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

State licenses

Practice roles

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.

• J. Sidney Alexander, M.D., P.C.

  • Psychiatry Physician
  • Knoxville, TN
  • NPI 1538204003

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613865600000",
    "number": "1295734903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3344 SHEFFIELD CT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423522",
            "telephone_number": "865-254-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3344 SHEFFIELD CT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423522",
            "telephone_number": "865-254-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBY",
        "first_name": "SUSAN",
        "middle_name": "SANFORD",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "RN101035",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN7016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3908549",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID--UNSPECIFIED TYPE",
            "identifier": "3908549",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Easter Seals Baltimore-Washington
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• Rasha A Ebeid, MD
• Katherine Elizabeth Eberly
• Ecarenow LLC
• Julianne Eckert, CRNA
• Eckhouse Therapy, LLC
• Chelsea Manchester Eckhouse, PHD, LPC
• James M Ecklund, MD

• Psychiatric/Mental Health Nurse Practitioner in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2021; 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.