Individual provider Active NPI

Suzanne Lee O'Neale-Willson

  • Family Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1871245175
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08211039 Issued in MD
Practice address
4321 Collington Rd Ste 230
Bowie, MD 20716-2261
Phone
(301) 809-4321
NPI assigned
Jan 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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 F08211039 MD Primary

Addresses

Primary practice location

4321 Collington Rd Ste 230
Bowie, MD 20716-2261

Mailing address

1342 Washington Dr
Annapolis, MD 21403-4731
Phone (410) 980-3564

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
F08211039MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Dermatology and Dermatologic Surgery Center CurrentSince Aug 17, 2025 Accepting new patients
WHC Physician Group LLC PastSince Aug 17, 2025 Accepting new patients

Locations

4321 Collington Rd
Ste 230
Bowie, MD 20716
Phone (301) 809-4321

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17854/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1871245175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 WASHINGTON DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214034731",
            "telephone_number": "410-980-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 COLLINGTON RD STE 230",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162261",
            "telephone_number": "301-809-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEALE-WILLSON",
        "first_name": "SUZANNE",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "F08211039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.