Individual provider Active NPI

Vilawan Suansae

  • Family Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1841918356
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R198619 Issued in MD
Practice address
13905 Blair Stone LN
Silver Spring, MD 20906-3115
Phone
(301) 275-7445
NPI assigned
Aug 19, 2022
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R198619 MD Primary

Addresses

Primary practice location

13905 Blair Stone LN
Silver Spring, MD 20906-3115

Mailing address

13905 Blair Stone LN
Silver Spring, MD 20906-3115
Phone (301) 275-7445

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

LicenseStateTypeSpecialty
R198619MDMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1841918356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13905 BLAIR STONE LN",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209063115",
            "telephone_number": "301-275-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13905 BLAIR STONE LN",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209063115",
            "telephone_number": "301-275-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUANSAE",
        "first_name": "VILAWAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R198619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.