Active NPI
Susanna Ryan, RN
- Registered Nurse
- Vienna, VA
National Provider Identifier
1649500851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0001084055
- Practice address
- 110 Pleasant St NW
Birch-C
Vienna, VA 22180-4447 - Phone
- (703) 255-3406
- Fax
- (703) 255-3409
- NPI assigned
- Jan 11, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001084055 | VA | Primary |
Addresses
Primary practice location
110 Pleasant St NW
Birch-C
Vienna, VA 22180-4447
Mailing address
110 Pleasant St NW
Birch-C
Vienna, VA 22180-4447
Phone (703) 255-3406
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001084055 | VA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263168000000",
"number": "1649500851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 PLEASANT ST NW",
"address_2": "BIRCH-C",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804447",
"telephone_number": "703-255-3406",
"fax_number": "703-255-3409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 PLEASANT ST NW",
"address_2": "BIRCH-C",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804447",
"telephone_number": "703-255-3406",
"fax_number": "703-255-3409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "SUSANNA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-11",
"last_updated": "2010-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001084055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.