SUSANNE BEATRIZ LARA (NPI# 1962927707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962927707 |
| Entity Type | Individual |
| Full Name | SUSANNE BEATRIZ LARA |
| Practice Address |
110 Irving St Nw Ste 4b42 Washington DC 20010-3017 |
| Practice Telephone | 2028777000 |
| Enumeration Date | 2017-08-12 |
| Last Update Date | 2017-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN1014141 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
110 IRVING ST NW STE 4B42 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20010-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245699495 | Kevin Marin | Physician Assistant | 110 Irving St Nw Ste 4b42, Washington, DC 20010-3017 | 2016-02-16 |
| 1548820889 | Lindsay Daqui | Surgery | 110 Irving St Nw Ste 4b42, Washington, DC 20010-3017 | 2019-06-18 |
| 1811467624 | Amanda Denny | Physician Assistant | 110 Irving St Nw Ste 4b42, Washington, DC 20010-3017 | 2018-12-05 |
| 1023584000 | Shannon Mary Gaskins | Physician Assistant | 110 Irving St Nw Ste 4b42, Washington, DC 20010-3017 | 2018-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728397 | Blueiris LLC | Clinic/Center | 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010 | 2020-10-20 |
| 1700425618 | Eve Kronzek | Audiologist | Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 | 2019-12-26 |
| 1366085169 | Jakeline Xochitl Merino | Nurse Practitioner | 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 | 2019-10-24 |
| 1710548110 | Ebrahim Hasan Khan | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw Dept of Int Med, Washington, DC 20010 | 2019-06-26 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| 1316407463 | Rabia Idrees | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 | 2019-03-24 |
| 1588124168 | Nishita Patel | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 | 2019-03-21 |
| 1861958035 | Melissa Ann Williams | Home Health Aide | 3506 Georgia Ave Nw #102, Washington, DC 20010 | 2019-02-13 |
| 1073080602 | Jingzhe Gao | Registered Nurse | Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 | 2018-11-01 |
| 1487140737 | Anees Musallam Sr. | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 | 2018-07-09 |
| Find all providers in zip 20010 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973947 | Michael Allen Parsley | Nurse Practitioner | 110 Irving St Nw # At, Washington, DC 20010-3017 | 2019-10-14 |
| 1659927606 | Susan Thornton Oyola | Nurse Practitioner | 110 Irving St Nw Unit 3ne, Washington, DC 20010-3017 | 2019-08-15 |
| 1770055006 | Melanie Dawn Sims | Nurse Practitioner | 110 Irving St Nw # 4b-42, Washington, DC 20010-3017 | 2018-12-27 |
| 1396285680 | Jessica Jean Thurn | Nurse Practitioner | 201 I St Ne, Apt. 408, Washington, DC 20002-4449 | 2017-03-06 |
| 1790150688 | Polly Rebecca Jackson | Nurse Practitioner | 4875 N 4 Mile Rd, Washington, MO 63090-3931 | 2015-12-03 |
| 1437418563 | Alyson Severino | Nurse Practitioner | 110 Irving St Nw # 424b, Washington, DC 20010-3017 | 2012-05-09 |
| 1033340799 | Floyd Joseph Johnson IIi | Nurse Practitioner | 2131 K St Nw Ste 201, Washington, DC 20037-1856 | 2009-07-29 |
| 1073753224 | Latoya Michon Taylor | Nurse Practitioner | 2041 Georgia Ave Nw Towers 2322, Washington, DC 20060 | 2009-03-01 |
| 1427197888 | Anna Lisa Licud | Nurse Practitioner | 110 Irving St., Nw, Whc Surgical Critical Care Service Suite 4b-42, Washington, DC 20010-2975 | 2007-02-05 |
| 1376638866 | Amanda Champion Bunch | Nurse Practitioner | 1203 Carolina Ave, Washington, NC 27889-3571 | 2006-10-03 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20010 |
Please comment or provide details below to improve the information on SUSANNE BEATRIZ LARA.
| 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.