Individual provider Active NPI

Susan B Clapp, AGNP

  • Adult Health Nurse Practitioner
  • Lynchburg, VA
National Provider Identifier
1487157947
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
24175922 Issued in VA
Practice address
620 Court St
Lynchburg, VA 24504-1312
Phone
(434) 810-6910
Fax
(434) 818-8010
NPI assigned
Mar 12, 2018
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024175922 VA
Adult Health Nurse Practitioner 363LA2200X 24175922 VA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1487157947 VA

Addresses

Primary practice location

620 Court St
Lynchburg, VA 24504-1312

Mailing address

1300 Stoney Ridge Blvd Apt 302
Forest, VA 24551-4993
Phone (434) 841-4529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20180808000669 VA Practitioner - Nurse Practitioner 7618225608

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024175922VAMDAdult Health Nurse Practitioner
24175922VAMDAdult Health Nurse Practitioner
1487157947VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MSRC One, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1487157947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 STONEY RIDGE BLVD APT 302",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514993",
            "telephone_number": "434-841-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 COURT ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041312",
            "telephone_number": "434-810-6910",
            "fax_number": "434-818-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAPP",
        "first_name": "SUSAN",
        "middle_name": "B",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024175922",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "24175922",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "1487157947",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.