Individual provider Active NPI

Susan Barbara Bezner, A.R.N.P.

  • Family Nurse Practitioner
  • Ardmore, OK
National Provider Identifier
1013150325
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0074306 Issued in OK
Practice address
731 12TH Ave NW
Suite #201
Ardmore, OK 73401-5761
Phone
(580) 224-9000
Fax
(580) 224-9009
NPI assigned
Apr 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0074306 OK Primary

Addresses

Primary practice location

731 12TH Ave NW
Suite #201
Ardmore, OK 73401-5761

Mailing address

731 12TH Ave NW
Suite #201
Ardmore, OK 73401-5761
Phone (580) 224-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0074306OKMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239840000000",
    "number": "1013150325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 12TH AVE NW",
            "address_2": "SUITE #201",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734015761",
            "telephone_number": "580-224-9000",
            "fax_number": "580-224-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 12TH AVE NW",
            "address_2": "SUITE #201",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734015761",
            "telephone_number": "580-224-9000",
            "fax_number": "580-224-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZNER",
        "first_name": "SUSAN",
        "middle_name": "BARBARA",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0074306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.