Active NPI
Anne Elizabeth Sutherland, NP
- Nurse Practitioner
- Warrenton, VA
National Provider Identifier
1992319388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024179965
- Practice address
- 28 Blackwell Park LN Ste 103
Warrenton, VA 20186-2686 - Phone
- (540) 349-3225
- Fax
- (540) 349-1204
- NPI assigned
- Sep 2, 2020
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001291684 | VA | |
| Nurse Practitioner | 363L00000X | 0024179965 | VA | Primary |
Addresses
Primary practice location
28 Blackwell Park LN Ste 103
Warrenton, VA 20186-2686
Mailing address
28 Blackwell Park LN Ste 103
Warrenton, VA 20186-2686
Phone (540) 349-3225
Other practice location 1
13910 Estate Manor Dr
Gainesville, VA 20155-5951
Phone (571) 446-0700
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001291684 | VA | MD | Registered Nurse |
| 0024179965 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warrenton Pediatrics, LLC | Past | Accepting new patients | |
| Fauquier Physician Practices LLC | Past | Accepting new patients |
Interoperability endpoints
- anne.sutherland.p13@direct.warrentonpeds.nextgenshare.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Warrenton, VA
- NPI 1770916983
-
- Pediatrics Physician
- Warrenton, VA
- NPI 1023133410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1992319388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 BLACKWELL PARK LN STE 103",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201862686",
"telephone_number": "540-349-3225",
"fax_number": "540-349-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 BLACKWELL PARK LN STE 103",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201862686",
"telephone_number": "540-349-3225",
"fax_number": "540-349-1204"
}
],
"practiceLocations": [
{
"address_1": "13910 Estate Manor Dr",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "VA",
"postal_code": "201555951",
"country_code": "US",
"telephone_number": "571-446-0700",
"fax_number": "703-754-1359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTHERLAND",
"first_name": "ANNE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-02",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001291684",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024179965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrenton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.