Susie Kim Ahn, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

712630 Issued in TX

Practice address

1105 Central Expy N Ste 2240
Allen, TX 75013-6114

Phone

(866) 607-2308

NPI assigned

Jul 29, 2005

Last updated

Oct 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of California, Geffen School of Medicine, 2002

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Legacy Heart Care of Fort Worth, LLCGroup PAC ID 2860677341, 12 clinicians

Legacy Heartcare of Dallas, LLCGroup PAC ID 6305029653, 22 clinicians

Legacy Heart Care of Grand Prairie, LLCGroup PAC ID 9638549884, 6 clinicians

Legacy Heart Care of North Dallas LLCGroup PAC ID 9931571544, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy Heart Care of Fort Worth, LLC

  dba Flow Therapy Fort Worth

  • Cardiovascular Disease Physician
  • Fort Worth, TX
  • NPI 1730120908
  Medicare reassignment Care Compare group NPD
• Legacy Heart Care of Grand Prairie, LLC

  dba Flow Therapy Grand Prairie

  • Cardiovascular Disease Physician
  • Grand Prairie, TX
  • NPI 1174252837
  Medicare reassignment Care Compare group NPD
• Legacy Heart Care of North Dallas, LLC

  dba Flow Therapy North Dallas

  • Cardiovascular Disease Physician
  • Dallas, TX
  • NPI 1265150205
  Medicare reassignment Care Compare group NPD
• Legacy Heartcare of Dallas, LLC

  dba Flow Therapy

  • Cardiovascular Disease Physician
  • Plano, TX
  • NPI 1144520503
  Medicare reassignment Care Compare group NPD
• Legacy Heart Care of Midtown Austin, LLC

  dba Flow Therapy North Austin

  • Cardiovascular Disease Physician
  • Round Rock, TX
  • NPI 1356869804
  Medicare reassignment NPD
• Legacy Heart Care of San Antonio

  dba Flow Therapy Medical Center

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1285057935
  Medicare reassignment NPD
• Legacy Heart Care of South Austin, LLC

  dba Flow Therapy South Austin

  • Cardiovascular Disease Physician
  • Kyle, TX
  • NPI 1346768892
  Medicare reassignment NPD
• Legacy Heart Care of San Antonio

  dba Flow Therapy Live Oak

  • Cardiovascular Disease Physician
  • Live Oak, TX
  • NPI 1316617426
  NPD
• Legacy Heartcare of Dallas, LLC

  dba Flow Therapy McKinney

  • Cardiovascular Disease Physician
  • McKinney, TX
  • NPI 1275215808
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1003816232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570492",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753570492",
            "telephone_number": "562-714-8609",
            "fax_number": "206-202-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 CENTRAL EXPY N STE 2240",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136114",
            "telephone_number": "866-607-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "SUSIE",
        "middle_name": "KIM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "712630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sulman Ahmed, D.M.D
• Tanveer Ahmed
• Tayyaba S Ahmed, DDS
• Zainab Ahmed I
• Hyeri Hailey Ahn
• Sharanya Ajaykumar, DO
• Juliana Akabua
• Venkataramasireesha Akaveeti, DDS
• Saleem Akbar, M.D.
• Asma Akhtar

• Family Nurse Practitioner in Allen, TX
• Providers in Allen, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.