Active NPI
Trish Suzanne Ebel, NP
- Nurse Practitioner
- Chantilly, VA
National Provider Identifier
1437678901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN281858
- Practice address
- 14121 Parke Long CT Ste 201
Chantilly, VA 20151-1647 - Phone
- (855) 247-1940
- NPI assigned
- Sep 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN281858 | MA | Primary |
Addresses
Primary practice location
14121 Parke Long CT Ste 201
Chantilly, VA 20151-1647
Mailing address
14121 Parke Long CT
Chantilly, VA 20151-1647
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN281858 | MA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505433600000",
"number": "1437678901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14121 PARKE LONG CT",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201511647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14121 PARKE LONG CT STE 201",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201511647",
"telephone_number": "855-247-1940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBEL",
"first_name": "TRISH",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-15",
"last_updated": "2017-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN281858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chantilly, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.