MRS. SUSAN ELIZABETH TILLMAN (NPI# 1639330038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639330038 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN ELIZABETH TILLMAN |
| Credential | CPNP |
| Practice Address |
20925 Professional Plz Suite 340 Ashburn VA 20147-3403 |
| Practice Telephone | 7037238900 |
| Mailing Telephone | 7037238900 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2013-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0024151999 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427134311 | Susan Ann Tillman | Counselor | 14369 Ridge Rd West, Suite 2, Albion, NY 14411 | 2006-10-31 |
| Street Address |
20925 PROFESSIONAL PLZ SUITE 340 |
| City | ASHBURN |
| State | VA |
| Zip Code | 20147-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497724389 | Cathleen O. Doane-wilson | Obstetrics & Gynecology | 20925 Professional Plz, Suite 200, Ashburn, VA 20147-3403 | 2006-03-14 |
| 1205218138 | Kanchanmala Akmanchi | Occupational Therapist | 20925 Professional Plz, #320, Ashburn, VA 20147-3403 | 2015-06-27 |
| 1255722005 | Willow Psychiatry Limited | Psychiatry & Neurology | 20925 Professional Plz, 310, Ashburn, VA 20147-3403 | 2015-02-16 |
| 1861894222 | Capital Family Medicine Plc. | Family Medicine | 20925 Professional Plz, Suite 310, Ashburn, VA 20147-3403 | 2014-09-17 |
| 1528486230 | Lubna Rana | Family Medicine | 20925 Professional Plz, Suite 310, Ashburn, VA 20147-3403 | 2014-03-31 |
| 1497984892 | Potomac Psychological Center, LLC | Psychologist | 20925 Professional Plz, Suite 230, Ashburn, VA 20147-3403 | 2009-07-07 |
| 1851539951 | Dawn Russ Gingras | Counselor | 20925 Professional Plz, Suite 230, Ashburn, VA 20147-3403 | 2009-01-27 |
| 1093952277 | Whole Child Pediatrics | Pediatrics | 20925 Professional Plz, Sutie #340, Ashburn, VA 20147-3403 | 2009-01-09 |
| 1659532794 | Radha Gayatri Agepati | Psychiatry & Neurology | 20925 Professional Plz, Suite 310, Ashburn, VA 20147-3403 | 2008-06-20 |
| 1730308511 | Cyril Joseph Md PC | Specialist | 20925 Professional Plz, Ste. 100, Ashburn, VA 20147-3403 | 2007-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
| 1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
| 1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
| 1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
| 1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
| 1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
| 1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
| Find all providers in zip 20147 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750798146 | Kathleen Anastasia Zinicola | Nurse Practitioner | 20955 Professional Plz, #200, Ashburn, VA 20147-3405 | 2014-07-17 |
| 1326384496 | Rachael Hanna Catherine Charron | Nurse Practitioner | 20955 Professional Plz, # 200, Ashburn, VA 20147-3405 | 2012-12-18 |
| 1457524365 | Teresa T Desanctis | Nurse Practitioner | 21785 Filigree Ct, Suite 201, Ashburn, VA 20147-6213 | 2008-04-11 |
| 1073792792 | Jennifer Lynne Jenks | Nurse Practitioner | 21785 Filigree Court, Suite 201, Ashburn, VA 20147 | 2007-10-30 |
| 1578557930 | Susan Ernst Weiner | Nurse Practitioner | 20955 Professional Plz, Ste 200, Ashburn, VA 20147-3405 | 2005-08-31 |
| 1730172164 | Kelly Barnhart Welstead | Nurse Practitioner | 20955 Professional Plz, Ste 200, Ashburn, VA 20147-3405 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820010 | Grace Yi | Nurse Practitioner | 6737 Stone Maple Ter, Centreville, VA 20121-5750 | 2020-10-29 |
| 1407455660 | Peds First Healthcare LLC | Nurse Practitioner | 7419 Maclachlan Dr, Chesterfield, VA 23838-5345 | 2020-10-20 |
| 1669097978 | Madison Smith | Nurse Practitioner | 1220 Wythe St Apt 258, Alexandria, VA 22314-2279 | 2020-06-11 |
| 1013542349 | Juliet Brown | Nurse Practitioner | 5249 Duke St Ste 303, Alexandria, VA 22304-2907 | 2020-03-06 |
| 1285268441 | Marlene Mayweathers | Nurse Practitioner | 224d Cornwall St Nw Ste 104, Leesburg, VA 20176-2700 | 2020-02-26 |
| 1972143972 | Katelyn Hinderland | Nurse Practitioner | 500 Discovery Dr Ste 302, Chesapeake, VA 23320-3871 | 2020-01-08 |
| 1760030118 | Meghan Elizabeth Hoskins | Nurse Practitioner | 2035 Waterside Rd # 105, Prince George, VA 23875-1265 | 2019-08-29 |
| 1679049092 | Kellie Anne Archer | Nurse Practitioner | 7605 Forest Ave Ste 102, Henrico, VA 23229-4936 | 2018-10-24 |
| 1811471139 | Jessica Tabor Cline | Nurse Practitioner | 900a Rio East Ct, Charlottesville, VA 22901-8040 | 2018-09-21 |
| 1306329222 | Laura Elizabeth Grove | Nurse Practitioner | 1002 Amherst St Ste C, Winchester, VA 22601-3323 | 2018-09-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.