Individual provider Active NPI

Suzanna Doty, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1962285528
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5018636 Issued in NC
Practice address
4360 Shore Dr Ste 101
Virginia Beach, VA 23455-2994
Phone
(757) 302-3430
NPI assigned
Aug 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024187899 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5018636 NC Primary

Addresses

Primary practice location

4360 Shore Dr Ste 101
Virginia Beach, VA 23455-2994

Mailing address

541 Griffith Village LN
Davidson, NC 28036-8119
Phone (843) 300-5194

Other names 1

  • Suzanna McGuire Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231212002024 VA Practitioner - Nurse Practitioner 0749639029 Reassigns benefits to 1 organization
I20260408002606 NC Practitioner - Nurse Practitioner 0749639029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Your Nurse Practitioner PLLCGroup PAC ID 7113329517, 8 clinicians

Practice addresses (Care Compare)

281 Rhoda St
Canton, NC 28716-3415
Phone (757) 251-0879

4360 Shore Dr
Suite 101
Virginia Beach, VA 23455-2994
Phone (757) 251-0879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5018636NCMDPsychiatric/Mental Health Nurse Practitioner
0024187899VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Your Nurse Practitioner PLLC Psychiatric/Mental Health CurrentSince Oct 3, 2023 Accepting new patients

Locations

4360 Shore Dr
Ste 101
Virginia Beach, VA 23455
Phone (757) 251-0879

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1962285528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 GRIFFITH VILLAGE LN",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280368119",
            "telephone_number": "843-300-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 SHORE DR STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552994",
            "telephone_number": "757-302-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "SUZANNA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024187899",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5018636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNA",
            "last_name": "MCGUIRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.