Susan Darlene Washington, RN, MSN, CCM

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

201803280021353 Issued in VA

Practice address

7900 Sudley Rd Ste 424
Manassas, VA 20109-2886

Phone

(703) 420-2712

Fax

(703) 420-2716

NPI assigned

Jul 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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.

• Bedford Home Health Care LLC

  dba Interim HealthCare Of Manassas

  • Home Health Agency
  • Manassas, VA
  • NPI 1689158115
  Authorized official Same address or phone

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1386121648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 SUDLEY RD STE 424",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092886",
            "telephone_number": "703-420-2712",
            "fax_number": "703-420-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 SUDLEY RD STE 424",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092886",
            "telephone_number": "703-420-2712",
            "fax_number": "703-420-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "SUSAN",
        "middle_name": "DARLENE",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "VA",
            "license": "201803280021353",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "VA",
            "license": "201803280021353",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "201803280021353",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "VA",
            "license": "201803280021353",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Warkentin, M.ED,CCS-SLP
• Michael Warner, M. D.
• Najwa Warsame, PMHNP
• Washington Behavior Solutions LLC
• Jael Washington
• Steven Jude Wasilewski, OTR/L
• Amy Lynn Watson, M.S. CCC-SLP
• Jennifer J. Watson, LCSW
• Michael D Watson
• Natasha Alexi Watson, RD

• Administrator Registered Nurse in Manassas, VA
• Providers in Manassas, VA by specialty
• Administrator Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.