Susan P Stutzman, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

NP198A Issued in ID

Practice address

215 10TH St
Lewiston, ID 83501-1912

Phone

(208) 799-3100

Fax

(208) 799-0349

NPI assigned

Jul 18, 2006

Last updated

Mar 7, 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

Other identifiers 1

Other names 1

• Susan P Stutzman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12569/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013936541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 10TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011912",
            "telephone_number": "208-799-3100",
            "fax_number": "208-799-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 10TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011912",
            "telephone_number": "208-799-3100",
            "fax_number": "208-799-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTZMAN",
        "first_name": "SUSAN",
        "middle_name": "P",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ID",
            "license": "NP198A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9604349",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "STUTZMAN",
            "middle_name": "P",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sherry D Stoutin, MD
• Debra Street, M.S.W.
• Johanna Mae Strehle, MPT
• Carley May Stringer, AGACNP-BC, CVNP
• Lindsay Allison Stryhas
• Deborah Sullivan
• Susan Calls Case Management
• Ashley Sutton, M.S., CCC-SLP
• Sally Anne Swanson, MS, CCC-SLP
• Ember Swearingen

• Women's Health Nurse Practitioner in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Women's Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.