Active NPI
Suzanne Marie Ryan, LVN
- Licensed Vocational Nurse
- Hesperia, CA
National Provider Identifier
1962690396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN192442
- Practice address
- 17820 Dunkirk St
Hesperia, CA 92345-7301 - Phone
- (760) 553-4752
- NPI assigned
- Oct 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN192442 | CA | Primary |
Addresses
Primary practice location
17820 Dunkirk St
Hesperia, CA 92345-7301
Mailing address
PO Box 3725
Helendale, CA 92342-3725
Phone (760) 553-4752
Other names 1
- Suzanne Marie Chavez
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
| License | State | Type | Specialty |
|---|---|---|---|
| VN192442 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1962690396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3725",
"city": "HELENDALE",
"state": "CA",
"postal_code": "923423725",
"telephone_number": "760-553-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17820 DUNKIRK ST",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923457301",
"telephone_number": "760-553-4752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "SUZANNE",
"middle_name": "MARIE",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-10",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN192442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "CHAVEZ",
"middle_name": "MARIE",
"credential": "LVN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hesperia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.