Active NPI
Suzanna Doty, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Virginia Beach, VA
National Provider Identifier
1962285528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5018636
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5018636 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0024187899 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Nurse Practitioner PLLC | Psychiatric/Mental Health | Current | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Virginia Beach, VA
- NPI 1801489711
NC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.