Individual provider Active NPI

Susan Traniello Hines, NP

  • Nurse Practitioner
  • Arcadia, CA
National Provider Identifier
1073564845
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN 482235 Issued in CA
Practice address
301 E Foothill Blvd
1St Floor
Arcadia, CA 91006-2549
Phone
(626) 471-6500
Fax
(626) 471-3575
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN 482235 CA Primary

Addresses

Primary practice location

301 E Foothill Blvd
1St Floor
Arcadia, CA 91006-2549

Mailing address

301 E Foothill Blvd
1St Floor
Arcadia, CA 91006-2549
Phone (626) 471-6500

Other identifiers 4

IdentifierTypeStateIssuer
BB662ZOtherCAMEDICARE PROVIDER
RN 482235MedicaidCA
14801OtherCANURSE PRACTIONER
BB662YOtherCAMEDICARE PROVIDER

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN 482235CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1073564845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E FOOTHILL BLVD",
            "address_2": "1ST FLOOR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062549",
            "telephone_number": "626-471-6500",
            "fax_number": "626-471-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E FOOTHILL BLVD",
            "address_2": "1ST FLOOR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062549",
            "telephone_number": "626-471-6500",
            "fax_number": "626-471-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRANIELLO HINES",
        "first_name": "SUSAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "RN 482235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "BB662Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN 482235",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTIONER",
            "identifier": "14801",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "BB662Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.