Susan Lynn Holley-Washer, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

607862 Issued in CA

Practice address

12138 Industrial Blvd
Suite # 120
Victorville, CA 92395-0000

Phone

(760) 951-2599

NPI assigned

Dec 14, 2012

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

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.

• Faculty Physicians and Surgeons of Llusm

  • Orthopaedic Surgery Physician
  • Loma Linda, CA
  • NPI 1275582918
  NPD (past)

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1376889584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21621 SANDIA ROAD",
            "address_2": "UNIT 103",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923085200",
            "telephone_number": "909-233-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12138 INDUSTRIAL BLVD",
            "address_2": "SUITE # 120",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923950000",
            "telephone_number": "760-951-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY-WASHER",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "CA",
            "license": "607862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luzviminda A Hodges
• Benjamin Hoffman
• Curtis C Hoggarth, O.D.
• Lizbeth Hogue
• Karli Holden
• Jasmine Holley
• Briana Hollier
• Paula Holly
• Allen Holm, LVN
• Jenoa Lynn Holmes, P.A.-C

• Ambulatory Care Registered Nurse in Victorville, CA
• Providers in Victorville, CA by specialty
• Ambulatory Care Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.