Active NPI
Suja Paul
- Psychiatric/Mental Health Nurse Practitioner
- Glen Allen, VA
National Provider Identifier
1356211676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2025071535
- Practice address
- 10808 Correnty Dr
Glen Allen, VA 23059-8025 - Phone
- (804) 312-4646
- NPI assigned
- Nov 11, 2025
- Last updated
- Nov 11, 2025
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2025071535 | VA | Primary |
Addresses
Primary practice location
10808 Correnty Dr
Glen Allen, VA 23059-8025
Mailing address
10808 Correnty Dr
Glen Allen, VA 23059-8025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10808 Correnty Dr
Glen Allen, VA 23059-8025
831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025071535 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1356211676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10808 CORRENTY DR",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230598025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10808 CORRENTY DR",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230598025",
"telephone_number": "804-312-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "SUJA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-11",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "2025071535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Allen, VA
- Patient First Pennsylvania Medical Group PLLC
- Patient First Richmond Medical Group PLLC
- Patient First Richmond Physician's Group PC
- Patient First Tidewater Physicians Group PC
- Patronus Health LLC
- Bradley Paulk, PHARM. D.
- Sheri L. Payne Tignor
- Rachel Paz, MS,LPC
- Peace of Mind Health Services LLC
- Kristin Nichelle Peace
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.