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
Hospital & facility affiliations 5
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
Practice addresses (Care Compare)
3920 A Bridge Rd
Suite 202
Suffolk, VA 23435-1107
Phone (757) 736-3725
Hospital & facility affiliations
- Sentara Obici Hospital
- Sentara Norfolk General Hospital
- Sentara Careplex Hospital
- Sentara Williamsburg Regional Medical Center
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| F310292 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Current |
Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Current |
Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Current |
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
- sbasnet1009493@direct.sentara.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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": []
}
Other providers in Suffolk, VA
- Rashidah Barrett
- Anneli Sylvia Barrios
- Lawrence Leslie Bartell
- Debbie Barton
- Monique Baskins
- Terry B Bass
- Bayview Medical Center, Inc
- Bayview Physician Services, PC
- Bayview Physician Services, PC
- Be & MH, LLC
All providers in Suffolk, VA · Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.