Active NPI
Susan E. Ringstaff, APRN CPNP
- Pediatric Nurse Practitioner
- Austin, TX
National Provider Identifier
1083972319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 566820
- Practice address
- 1301 Barbara Jordan Blvd
Suite 200
Austin, TX 78723-3077 - Phone
- (512) 628-1830
- NPI assigned
- Apr 24, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 109164 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | 566820 | TX | Primary |
Addresses
Primary practice location
1301 Barbara Jordan Blvd
Suite 200
Austin, TX 78723-3077
Mailing address
312 Copper LN
Leander, TX 78641-8566
Phone (512) 639-4391
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
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109164 | TX | MD | Speech-Language Pathologist |
| 566820 | TX | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1083972319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 COPPER LN",
"city": "LEANDER",
"state": "TX",
"postal_code": "786418566",
"telephone_number": "512-639-4391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD",
"address_2": "SUITE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233077",
"telephone_number": "512-628-1830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RINGSTAFF",
"first_name": "SUSAN",
"middle_name": "E.",
"credential": "APRN CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-24",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "109164",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "566820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.