Individual provider Active NPI

Susana Garaycochea, RN

  • Registered Nurse
  • Columbia, MD
National Provider Identifier
1700442183
Registry record updated May 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R211961 Issued in MD
Practice address
10440 Little Patuxent Pkwy Ste 800
Columbia, MD 21044-3569
Phone
(240) 460-3348
NPI assigned
May 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R211961 MD Primary

Addresses

Primary practice location

10440 Little Patuxent Pkwy Ste 800
Columbia, MD 21044-3569

Mailing address

10440 Little Patuxent Pkwy Ste 800
Columbia, MD 21044-3569

Other names 1

  • Mrs. Susana Falasco Former name

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

LicenseStateTypeSpecialty
R211961MDMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1557532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557532800000",
    "number": "1700442183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 LITTLE PATUXENT PKWY STE 800",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 LITTLE PATUXENT PKWY STE 800",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443569",
            "telephone_number": "240-460-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARAYCOCHEA",
        "first_name": "SUSANA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-11",
        "last_updated": "2019-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R211961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANA",
            "last_name": "FALASCO",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2019; 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.