Individual provider Active NPI

Susan Zelda Buckley, NP

  • Family Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1942883038
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024180001 Issued in VA
Practice address
301 Riverview Ave Ste 930
Norfolk, VA 23510-1068
Phone
(757) 252-3236
NPI assigned
May 5, 2021
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024180001 VA
Family Nurse Practitioner 363LF0000X 0024180001 VA Primary

Addresses

Primary practice location

301 Riverview Ave Ste 930
Norfolk, VA 23510-1068

Mailing address

7746 Farmwood Rd
Gloucester Point, VA 23062-2202
Phone (757) 869-2830

Other practice location 1

12720 McManus Blvd Ste 307
Newport News, VA 23602-4414
Phone (757) 599-3436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210527001499 VA Practitioner - Nurse Practitioner 8022417815 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

301 Riverview Ave
Suite 930
Norfolk, VA 23510-1068
Phone (757) 252-3236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Mar 1, 2025 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Jun 16, 2021 Accepting new patients
Clark Palliative Medicine Group CurrentSince Dec 9, 2024 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Jun 16, 2021 Accepting new patients
Clark Alliance Services Inc CurrentSince Dec 9, 2024 Accepting new patients
Clark Pulmonary Group CurrentSince Dec 9, 2024 Accepting new patients
Sentara Medical Group PastSince Jan 26, 2025 Accepting new patients

Locations

101 York Crossing Rd
#A
Grafton, VA 23692
Phone (757) 898-7737

11761 Rock Landing Dr
Ste 8
Newport News, VA 23606

12720 McManus Blvd
Ste 307
Newport News, VA 23602
Phone (757) 599-3436

500 J Clyde Morris Blvd
#4
Newport News, VA 23601
Phone (757) 276-5020

500 J Clyde Morris Blvd
Ste 4
Newport News, VA 23601

827 Diligence Dr
Ste 100
Newport News, VA 23606

301 Riverview Ave
Ste 930
Norfolk, VA 23510
Phone (757) 252-3236

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

2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000

3575 Bridge Rd
Ste 8
Suffolk, VA 23435
Phone (757) 632-7107

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 7

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": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1942883038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7746 FARMWOOD RD",
            "city": "GLOUCESTER POINT",
            "state": "VA",
            "postal_code": "230622202",
            "telephone_number": "757-869-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 RIVERVIEW AVE STE 930",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101068",
            "telephone_number": "757-252-3236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12720 McManus Blvd Ste 307",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236024414",
            "country_code": "US",
            "telephone_number": "757-599-3436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "SUSAN",
        "middle_name": "ZELDA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024180001",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.