Alice Susan Bidwell, CNS

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

0015000280 Issued in VA

Practice address

11250 Roger Bacon Dr
Suite 12
Reston, VA 20190-5219

Phone

(703) 424-0461

NPI assigned

Nov 4, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Susan Bidwell Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1689753089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11250 ROGER BACON DR",
            "address_2": "SUITE 12",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905219",
            "telephone_number": "703-424-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11250 ROGER BACON DR",
            "address_2": "SUITE 12",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905219",
            "telephone_number": "703-424-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDWELL",
        "first_name": "ALICE",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0015000280",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "VA",
            "license": "0015000280",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5510241",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "239232",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BIDWELL",
            "prefix": "DR.",
            "credential": "CNS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Malavika Santhosh Bhalla, PA-C
• Niteesh Bharara, MD
• Satyajeet Bhide, D.D.S.
• Neeraj Bhushan, M.D.
• Cole Bibb, DPT
• Elzbieta Biernacki
• Sarah Biggs, LPC
• Rodney Biglow, MD
• Mark Lawrence Bilowus, M.D.
• Laura Lee Birks, RDH

• Psychiatric/Mental Health Clinical Nurse Specialist in Reston, VA
• Providers in Reston, VA by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.