CMS-1500 Box 24J / 33a • NPI
1487510541
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LP2300X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care
Box 32 Service Location & ZIP+4
8613 ROUTE 29, FAIRFAX, VA, 22031-2171
✓ 9-Digit EDI 837 ZIP+4 (22031-2171)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1487510541 (SUZAN ABDULJAWAD, PhD, MSN, APRN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1487510541 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SUZAN ABDULJAWAD, PhD, MSN, APRN |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care NUCC Code: 363LP2300X (Nurse Practitioner, Primary Care) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 8613 ROUTE 29, FAIRFAX, VA, 22031-2171 |
| Practice Telephone / Fax | Tel: (571) 350-8400 |
| Administrative Mailing Address | 8613 ROUTE 29, FAIRFAX, VA, 22031-2171 |
| Enumeration & Last Sync | Enumerated: 2026-01-01 | CMS Record Updated: 2026-01-01 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LP2300X)
What Does Taxonomy Code 363LP2300X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP2300X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SUZAN ABDULJAWAD, PhD, MSN, APRN)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363LA2200X — Nurse Practitioner, Adult HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Adult Health | State: FL | License: 11038203 | Primary: Secondary |
363LP2300X — Nurse Practitioner, Primary CarePlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care | State: VA | License: 0024194219 | Primary: Yes (Primary) |
363LG0600X — Nurse Practitioner, GerontologyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology | State: VA | License: 0024194219 | Primary: Secondary |
163WX0200X — Registered Nurse, OncologyPlain English: Licensed & Credentialed Registered Nurse, Oncology | State: VA | License: 0001338943 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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