DR. ALICE SUSAN BIDWELL CNS NPI 1689753089

NPI Information

  • NPI: 1689753089
  • Provider Name: DR. ALICE SUSAN BIDWELL, CNS
  • Classification: Clinical Nurse Specialist - 364SP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 11250 ROGER BACON DR
    SUITE 12
    RESTON, VA
    ZIP 20190
  • Phone: (703) 424-0461

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NPI Details

DR. Alice Susan Bidwell, CNS is a psychiatric/mental health clinical nurse specialist in Reston, VA. DR. Alice Susan Bidwell, CNS NPI is 1689753089. 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:

11250 ROGER BACON DR
SUITE 12
RESTON, VA
ZIP 20190-219
Phone: (703) 424-0461

The enumeration date for this NPI number is 11/4/2006 and was last updated on 9/11/2025.

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
1364SP0808XClinical Nurse SpecialistPsychiatric/Mental Health0015000280VIRGINIAYes
2364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, Adult0015000280VIRGINIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15510241MEDICAIDVIRGINIA
2239232OTHERVIRGINIAANTHEM BLUE CROSS

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

NPI Synchronization or Removal

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