Susan Lee Nytes, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11090-33 Issued in WI

Practice address

211 E Flamingo Rd # 405
Las Vegas, NV 89169-4708

Phone

(319) 899-9139

NPI assigned

May 20, 2022

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1013655091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E FLAMINGO RD # 405",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891694708",
            "telephone_number": "319-899-9139",
            "fax_number": "800-558-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E FLAMINGO RD # 405",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891694708",
            "telephone_number": "319-899-9139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1502 Greenway Cross Ste 122",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537135023",
            "country_code": "US",
            "telephone_number": "319-899-9139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYTES",
        "first_name": "SUSAN",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "11090-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayna Nyman
• Zachary Vincent Nyman, DPT
• Pamela Nyon, OD
• Samuel Nyon, M.D.
• Cheryl Nystrom
• Deschanel King Nzambi
• Sundra Nze
• Alice Nzemene
• Juliette E Nzene
• Sammy M Nzivo, APRN

• Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.