Susan Rene Neely, RN

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

R087680 Issued in AR

Practice address

30 Hondo Cir
Cherokee Village, AR 72529-2315

Phone

(417) 413-1460

NPI assigned

Jul 3, 2021

Last updated

Jul 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access Medical Clinic Arkansas LLC

  • Audiologist
  • Salem, AR
  • NPI 1376215608
  Authorized official Same address or phone

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

{
    "created_epoch": "1625270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625270400000",
    "number": "1043881857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 793",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725420793",
            "telephone_number": "870-847-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HONDO CIR",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725292315",
            "telephone_number": "417-413-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "SUSAN",
        "middle_name": "RENE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-03",
        "last_updated": "2021-07-03",
        "certification_date": "2021-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "AR",
            "license": "R087680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "textline.com",
            "affiliation": "N",
            "endpointDescription": "secure text messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text messaging",
            "address_1": "30 Hondo Cir",
            "city": "Cherokee Village",
            "state": "AR",
            "country_code": "US",
            "postal_code": "725292315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vicki McDaniel, RN BC
• Mia McKinney, PT, DPT
• Kaylyn Mitchell, PTA
• Shorlyn Morris, MHPP
• Joshua Morrison, LMSW
• Tobi Nipp, QBHP
• Northeast Arkansas Community Mental Health Center Inc (Mid South Health Systems)
• Thomas Norton, LPC
• Oldenberg Inc
• Denise T Oldenberg, MD

• Infusion Therapy Registered Nurse in Cherokee Village, AR
• Providers in Cherokee Village, AR by specialty
• Infusion Therapy Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2021; 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.