Individual provider Active NPI

Susan K. Price, RT (R)(T)

  • Radiation Therapy Radiologic Technologist
  • Fort Smith, AR
National Provider Identifier
1093082877
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Therapy Radiologic TechnologistTaxonomy code 2471R0002X
License
RT1499 Issued in AR
Practice address
5139 Tennessee Ridge Rd
Fort Smith, AR 72916-8246
Phone
(479) 646-3282
NPI assigned
Nov 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Therapy Radiologic Technologist 2471R0002X RT1499 AR Primary

Addresses

Primary practice location

5139 Tennessee Ridge Rd
Fort Smith, AR 72916-8246

Mailing address

5139 Tennessee Ridge Rd
Fort Smith, AR 72916-8246
Phone (479) 646-3282

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

State licenses

LicenseStateTypeSpecialty
RT1499ARMDRadiation Therapy Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1093082877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5139 TENNESSEE RIDGE RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729168246",
            "telephone_number": "479-646-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5139 TENNESSEE RIDGE RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729168246",
            "telephone_number": "479-646-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "SUSAN",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "RT (R)(T)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471R0002X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": "AR",
            "license": "RT1499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.