Individual provider Active NPI

Susanne E Brown, RN, APRN-CNP

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1093822850
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-06678 Issued in OH
Practice address
1730 S Reynolds Rd
Toledo, OH 43614-1402
Phone
(419) 865-1499
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-06678 OH Primary

Addresses

Primary practice location

1730 S Reynolds Rd
Toledo, OH 43614-1402

Mailing address

7119 Chambersburg Dr
Sylvania, OH 43560-2908
Phone (419) 874-3578

Other practice location 1

7119 Chambersburg Dr
Sylvania, OH 43560-2908
Phone (419) 874-3578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050805000099 OH Practitioner - Nurse Practitioner 8527097062 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
NP-06678OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Living Palliative Care Greater Toledo LLC CurrentSince May 24, 2022 Accepting new patients
Kingston Care Partners, LLC CurrentSince Jul 20, 2013 Accepting new patients

Locations

1120 Dunaway St
Miamisburg, OH 45342
Phone (937) 307-5949

904 Issac Sts
Oregon, OH 43616
Phone (419) 691-2483

4121 King Rd
Sylvania, OH 43560
Phone (419) 517-8200

1730 S Reynolds Rd
Toledo, OH 43614
Phone (419) 701-9809

4210 Telegraph Ln
Vermilion, OH 44089
Phone (440) 276-6577

6010 W Lake Rd
Vermilion, OH 44089
Phone (440) 282-1312

9200 Worthington Rd
Ste 300
Westerville, OH 43082
Phone (614) 888-7800

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1093822850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 CHAMBERSBURG DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602908",
            "telephone_number": "419-874-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 S REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141402",
            "telephone_number": "419-865-1499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7119 Chambersburg Dr",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435602908",
            "country_code": "US",
            "telephone_number": "419-874-3578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SUSANNE",
        "middle_name": "E",
        "credential": "RN, APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP-06678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.