Sulochana Basnet

Individual provider Active NPI Nurse Practitioner · Suffolk, VA

NPI 1700548492 · NPPES record last updated Aug 29, 2024

Key facts

NPI
1700548492
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
0024190610 (VA)
Practice address
3920A Bridge Rd Ste 202
Suffolk, VA 23435-1117
Phone
(757) 983-0330
Fax
(757) 431-7788
NPI assigned
Oct 10, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical Group (1,396 clinicians)

Practice addresses (Care Compare)

3920 A Bridge Rd
Suite 202
Suffolk, VA 23435-1107
Phone (757) 736-3725

Hospital & facility affiliations

  • Sentara Obici Hospital Hospital · Suffolk, VA · CCN 490044
  • Sentara Norfolk General Hospital Hospital · Norfolk, VA · CCN 490007
  • Sentara Careplex Hospital Hospital · Hampton, VA · CCN 490093
  • Sentara Williamsburg Regional Medical Center Hospital · Williamsburg, VA · CCN 490066

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NC, VA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20211111001409 NC Practitioner - Nurse Practitioner 2163811290
I20241009003454 VA Practitioner - Nurse Practitioner 2163811290 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F310292NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Current
since Oct 1, 2024
Accepting new patients
Pinehurst Medical Clinic, Inc. Current
since Nov 8, 2021
Accepting new patients
Pinehurst Medical Clinic, Inc. Current
since Nov 8, 2021
Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

1902 N Sandhills Blvd
Ste C
Aberdeen, NC 28315
Phone (910) 692-4011

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

15 Regional Dr
Pinehurst, NC 28374
Phone (910) 255-4400

200 Pavilion Way
Southern Pines, NC 28387
Phone (910) 235-3330

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

3920A Bridge Rd
Ste 202
Suffolk, VA 23435
Phone (757) 736-3725

Interoperability endpoints

  • Direct secure messaging: sbasnet1009493@direct.sentara.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5015198 NC
Nurse Practitioner 363L00000X 0024190610 VA Yes
Nurse Practitioner 363L00000X F310292 NY

Addresses

Primary practice location

3920A Bridge Rd Ste 202
Suffolk, VA 23435-1117

Mailing address

3920A Bridge Rd Ste 202
Suffolk, VA 23435-1117
Phone (757) 983-0330

Other practice location 1

200 Pavilion Way
Southern Pines, NC 28387-4561
Phone (910) 295-5511

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 29, 2024.

{
    "created_epoch": "1633824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1700548492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920A BRIDGE RD STE 202",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351117",
            "telephone_number": "757-983-0330",
            "fax_number": "757-431-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920A BRIDGE RD STE 202",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351117",
            "telephone_number": "757-983-0330",
            "fax_number": "757-431-7788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Pavilion Way",
            "address_purpose": "LOCATION",
            "city": "Southern Pines",
            "state": "NC",
            "postal_code": "283874561",
            "country_code": "US",
            "telephone_number": "910-295-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASNET",
        "first_name": "SULOCHANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-10",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5015198",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024190610",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F310292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.