Individual provider Active NPI

Susan M De Abate

  • Diabetes Educator Registered Nurse
  • Virginia Beach, VA
National Provider Identifier
1427639780
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
0001076124 Issued in VA
Practice address
1060 First Colonial Rd
Sentara Virginia Beach General Hospital Diabetes Center
Virginia Beach, VA 23454-3002
Phone
(757) 395-8836
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 0001076124 VA Primary

Addresses

Primary practice location

1060 First Colonial Rd
Sentara Virginia Beach General Hospital Diabetes Center
Virginia Beach, VA 23454-3002

Mailing address

1060 First Colonial Rd
Sentara Virginia Beach General Hospital Diabetes Center
Virginia Beach, VA 23454-3002

Other identifiers 1

IdentifierTypeStateIssuer
6875147OtherDPRP ASSIGNED ORGANIZATIONAL CODE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0001076124VAMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1427639780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 FIRST COLONIAL RD",
            "address_2": "SENTARA VIRGINIA BEACH GENERAL HOSPITAL DIABETES CENTER",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 FIRST COLONIAL RD",
            "address_2": "SENTARA VIRGINIA BEACH GENERAL HOSPITAL DIABETES CENTER",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543002",
            "telephone_number": "757-395-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ABATE",
        "first_name": "SUSAN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "VA",
            "license": "0001076124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPRP ASSIGNED ORGANIZATIONAL CODE",
            "identifier": "6875147",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

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