Active NPI
Susan Marie Kenney, RNFA
- Registered Nurse First Assistant
- Reston, VA
National Provider Identifier
1780829077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- R090027
- Practice address
- 1850 Town Center Pkwy
Suite 400
Reston, VA 20190-3219 - Phone
- (703) 810-5204
- Fax
- (703) 385-0575
- NPI assigned
- Dec 16, 2008
- 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 First Assistant | 163WR0006X | R090027 | VA | Primary |
Addresses
Primary practice location
1850 Town Center Pkwy
Suite 400
Reston, VA 20190-3219
Mailing address
PO Box 71230
Philadelphia, PA 19176-6230
Phone (703) 383-6469
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R090027 | VA | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301356800000",
"number": "1780829077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71230",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191766230",
"telephone_number": "703-383-6469",
"fax_number": "703-385-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 TOWN CENTER PKWY",
"address_2": "SUITE 400",
"city": "RESTON",
"state": "VA",
"postal_code": "201903219",
"telephone_number": "703-810-5204",
"fax_number": "703-385-0575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEY",
"first_name": "SUSAN",
"middle_name": "MARIE",
"credential": "RNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-16",
"last_updated": "2011-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "VA",
"license": "R090027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.