Individual provider Active NPI

Susana E Quant Cordoba, FNP-BC

  • Family Nurse Practitioner
  • Annandale, VA
National Provider Identifier
1447083514
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024191043 Issued in VA
Practice address
7611 Little River Tpke Ste 108
Annandale, VA 22003-2611
Phone
(703) 717-7215
Fax
(703) 717-7216
NPI assigned
Aug 23, 2024
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024191043 VA Primary

Addresses

Primary practice location

7611 Little River Tpke Ste 108
Annandale, VA 22003-2611

Mailing address

6709 Forsythia St
Springfield, VA 22150-1104
Phone (703) 398-0648

Other practice location 1

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 558-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241031002833 DC Practitioner - Nurse Practitioner 5799218558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

527 Maple Ave E
Suite 200
Vienna, VA 22180-4746
Phone (703) 717-7288

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Physician Group, LLC CurrentSince Dec 1, 2024 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Dec 1, 2024 Accepting new patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients

Locations

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

5803 Rolling Rd
Ste 110
Springfield, VA 22152
Phone (703) 717-7375

527 Maple Ave E
Ste 200
Vienna, VA 22180
Phone (703) 717-7284

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1447083514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 FORSYTHIA ST",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501104",
            "telephone_number": "703-398-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 LITTLE RIVER TPKE STE 108",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032611",
            "telephone_number": "703-717-7215",
            "fax_number": "703-717-7216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 N George Mason Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222053610",
            "country_code": "US",
            "telephone_number": "703-558-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUANT CORDOBA",
        "first_name": "SUSANA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024191043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.