Active NPI
Susan Renee Harris, FNP-C
- Family Nurse Practitioner
- Arlington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024167677
- Practice address
- 1101 Wilson Blvd FL 6
Arlington, VA 22209-2281 - Phone
- (888) 731-8994
- NPI assigned
- Mar 25, 2008
- Last updated
- Sep 9, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024167677 | VA | Primary |
Addresses
Primary practice location
1101 Wilson Blvd FL 6
Arlington, VA 22209-2281
Mailing address
109 Shale St
Richlands, VA 24641-2926
Phone (276) 971-1030
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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Fashion Rd
Suite D
Pounding Mill, VA 24637-1200
Phone (276) 596-6375
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024167677 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinch Professional Physician Services LLC | Current | Accepting new patients | |
| Clinch Professional Physician Services LLC | Current | Accepting new patients | |
| Virginia Oncology Care, P.C. | Past | Accepting new patients | |
| Cancer Outreach Associates, P.C. | Past | Accepting new patients |
Locations
1100 Cedar Valley Dr
Cedar Bluff, VA 24609
Phone (276) 596-9551
1100 Cedar Valley Dr
Ste 3
Cedar Bluff, VA 24609
Phone (276) 596-6449
111 Fashion Rd
Pounding Mill, VA 24637
111 Fashion Rd
Ste D
Pounding Mill, VA 24637
Phone (276) 596-6375
6719 Governor Gc Peery Hwy
Ste 2450
Richlands, VA 24641
Phone (276) 596-6786
Interoperability endpoints
- susan.harris.1@19847.direct.athenahealth.com
- susan.harris@vab.hcadirect.net
Organizations & group practices 4
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.
-
- Surgery Physician
- Richlands, VA
- NPI 1609994284
-
dba Clinch Valley Family Care
- Rural Health Clinic/Center
- Cedar Bluff, VA
- NPI 1669157285
-
- Specialist
- Abingdon, VA
- NPI 1528039062
-
- Specialist
- Richlands, VA
- NPI 1306996863
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Clinch Valley Medical Center
- General Acute Care Hospital
- Richlands, VA
- NPI 1871534297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1366614869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 SHALE ST",
"city": "RICHLANDS",
"state": "VA",
"postal_code": "246412926",
"telephone_number": "276-971-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 WILSON BLVD FL 6",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222092281",
"telephone_number": "888-731-8994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "SUSAN",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-25",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024167677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.