Judy Lai Yee Chan, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R126848 Issued in MD

Practice address

8600 Old Georgetown Road
Suburban Hospital
Bethesda, MD 20814

Phone

(301) 896-2019

Fax

(301) 896-7346

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1639390214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 OLD GEORGETOWN ROAD",
            "address_2": "SUBURBAN HOSPITAL",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814",
            "telephone_number": "301-896-2019",
            "fax_number": "301-896-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 OLD GEORGETOWN ROAD",
            "address_2": "SUBURBAN HOSPITAL",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814",
            "telephone_number": "301-896-2019",
            "fax_number": "301-896-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JUDY",
        "middle_name": "LAI YEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R126848",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DC",
            "license": "RN63213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tambra W Chambers, MPT
• Thomas Chameli
• Champlain Ophthalmolgy Chartered
• CHI-Chao Chan, M.D.
• Jesse Chan
• Tet Wei Chan, MD
• Abhimanyu Chandel, MD
• Suruchi Chandra, M.D.
• Elias Bin Aris Chandran, MBBS
• Beatriz Hilda Chanduvi, M.D.

• Adult Health Nurse Practitioner in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.