Active NPI
Susan B Sorenson, ARNP
- Nurse Practitioner
- Sioux City, IA
National Provider Identifier
1093700940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- C070334
- Practice address
- 1125 Pierce St
Sioux City, IA 51105-1485 - Phone
- (712) 255-8901
- Fax
- (712) 255-9161
- NPI assigned
- Sep 16, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | C070334 | IA | Primary |
Addresses
Primary practice location
1125 Pierce St
Sioux City, IA 51105-1485
Mailing address
1125 Pierce St
Sioux City, IA 51105-1485
Phone (712) 255-8901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33161 | Other | IA | WELLMARK BCBS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1093700940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 PIERCE ST",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511051485",
"telephone_number": "712-255-8901",
"fax_number": "712-255-9161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 PIERCE ST",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511051485",
"telephone_number": "712-255-8901",
"fax_number": "712-255-9161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSON",
"first_name": "SUSAN",
"middle_name": "B",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-16",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "C070334",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "33161",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.