Active NPI
Susan Frances Dahl, MSN,CRNFA,BHA
- Registered Nurse
- Tacoma, WA
National Provider Identifier
1023121803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN00054047
- Practice address
- 3333 N Whitman St
Tacoma, WA 98407-1547 - Phone
- (253) 759-3065
- Fax
- (253) 759-3075
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00054047 | WA | Primary |
Addresses
Primary practice location
3333 N Whitman St
Tacoma, WA 98407-1547
Mailing address
5155 54TH Ave S
Seattle, WA 98118-2159
Phone (206) 387-8034
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| US0864194 | Other | WA | AETNA SPECIALIST PIN |
| 0039573 | Other | WA | LABOR AND INDUSTRIES # |
| DA4429 | Other | WA | BLUE SHIELD # |
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)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00054047 | WA | MD | Registered Nurse |
Interoperability endpoints
- susan.dahl@direct.vmmc.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209859200000",
"number": "1023121803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5155 54TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981182159",
"telephone_number": "206-387-8034",
"fax_number": "206-725-3751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 N WHITMAN ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984071547",
"telephone_number": "253-759-3065",
"fax_number": "253-759-3075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHL",
"first_name": "SUSAN",
"middle_name": "FRANCES",
"name_prefix": "Ms.",
"credential": "MSN,CRNFA,BHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2008-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00054047",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA SPECIALIST PIN",
"identifier": "US0864194",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES #",
"identifier": "0039573",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD #",
"identifier": "DA4429",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.