Active NPI
Suzanne C. Dargan, FNP
- Family Nurse Practitioner
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18844
- Practice address
- 105 W Stone Dr Ste 1F
Kingsport, TN 37660 - Phone
- (423) 230-2420
- Fax
- (423) 230-2422
- NPI assigned
- Jun 30, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 149844 | TN | |
| Family Nurse Practitioner | 363LF0000X | 0024173164 | VA | |
| Family Nurse Practitioner | 363LF0000X | 18844 | TN | Primary |
Addresses
Primary practice location
105 W Stone Dr Ste 1F
Kingsport, TN 37660
Mailing address
PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2093
Other practice location 1
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 282-1480 ext. 308
Other practice location 2
240 Medical Park Blvd Ste 1700
Bristol, TN 37620-7348
Phone (423) 990-2466
Other practice location 3
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 282-1480 ext. 308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- East Tennessee State University Quillen College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4332 Cortez Rd W
Bradenton, FL 34210-3139
Phone (561) 963-9881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149844 | TN | MD | Registered Nurse |
| 18844 | TN | MD | Family Nurse Practitioner |
| 0024173164 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dwic of Tampa Bay, Inc. | Current | Accepting new patients | |
| Dwic of Tampa Bay, Inc | Current | Accepting new patients | |
| Medexpress Urgent Care of Boynton Beach, LLC | Current | Accepting new patients | |
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| Southeastern Physician Services PC | Current | Accepting new patients | |
| Medexpress Urgent Care of Boynton Beach, LLC | Current | Accepting new patients | |
| Dwic of Tampa Bay, Inc. | Current | Accepting new patients | |
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| Southwest Virginia Physicians for Women | Past | Accepting new patients |
Locations
7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200
4332 Cortez Rd W
Bradenton, FL 34210
Phone (941) 277-8040
1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004
8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150
4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141
1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020
1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141
2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1033195474
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
-
- Urgent Care Clinic/Center
- Clearwater, FL
- NPI 1780633834
-
- Urgent Care Clinic/Center
- Boynton Beach, FL
- NPI 1366544728
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
-
- Urgent Care Clinic/Center
- Hudson, FL
- NPI 1598132490
-
- Urgent Care Clinic/Center
- Tampa, FL
- NPI 1023067220
-
- Urgent Care Clinic/Center
- Pembroke Pines, FL
- NPI 1265107361
-
- Urgent Care Clinic/Center
- Boca Raton, FL
- NPI 1245506807
-
- Specialist
- Abingdon, VA
- NPI 1255326245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574380800000",
"number": "1033524970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376620009",
"telephone_number": "423-857-2093",
"fax_number": "423-390-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W STONE DR STE 1F",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "37660",
"telephone_number": "423-230-2420",
"fax_number": "423-230-2422"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Park Blvd",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "TN",
"postal_code": "376207430",
"country_code": "US",
"telephone_number": "423-282-1480 x308",
"fax_number": "423-928-1353",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "240 Medical Park Blvd Ste 1700",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "TN",
"postal_code": "376207348",
"country_code": "US",
"telephone_number": "423-990-2466",
"fax_number": "423-990-2407",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Park Blvd",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "TN",
"postal_code": "376207430",
"country_code": "US",
"telephone_number": "423-282-1480 x308",
"fax_number": "423-928-1353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DARGAN",
"first_name": "SUZANNE",
"middle_name": "C.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-30",
"last_updated": "2019-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "149844",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024173164",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "18844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.