SUZANNAH RYAN STIVISON CPNP NPI 1053686246

NPI Information

  • NPI: 1053686246
  • Provider Name: SUZANNAH RYAN STIVISON, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8401 CONNECTICUT AVE
    SUITE 201
    CHEVY CHASE, MD
    ZIP 20815
  • Phone: (301) 907-3690

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NPI Details

Suzannah Ryan Stivison, CPNP is a pediatrics nurse practitioner in Chevy Chase, MD. Suzannah Ryan Stivison, CPNP NPI is 1053686246. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8401 CONNECTICUT AVE
SUITE 201
CHEVY CHASE, MD
ZIP 20815-803
Phone: (301) 907-3690

The NPI 1053686246 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2012 and was last updated on 3/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsR193057MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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