Susan Katherine Blick, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024174390 Issued in VA

Practice address

2900 Lamb Cir Ste 7-700a
Christiansburg, VA 24073-6344

Phone

(540) 731-7460

Fax

(540) 731-1081

NPI assigned

Jan 5, 2006

Last updated

Feb 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ms. Susan Katherine Blick Other name

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Bioserenity USA Inc.

  dba Pivotal Health

  • Sleep Disorder Diagnostic Clinic/Center
  • Baltimore, MD
  • NPI 1457992604
  NPD (past)
• Georgia Cancer Specialists I, PC

  • Specialist
  • Atlanta, GA
  • NPI 1821076241
  NPD (past)
• Sleepmed Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Macon, GA
  • NPI 1649455189
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1114905585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LAMB CIR STE 7-700A",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736344",
            "telephone_number": "540-731-7460",
            "fax_number": "540-731-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LAMB CIR STE 7-700A",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736344",
            "telephone_number": "540-731-7460",
            "fax_number": "540-731-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLICK",
        "first_name": "SUSAN",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN143856",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000964554B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RN143856 NP",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BLICK",
            "middle_name": "KATHERINE",
            "prefix": "MS.",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charles D Bissell, MD
• Noelle S Bissell, MD
• Blacksburg Neurology PC
• Kelsey Blankenship, LPC
• Melissa Blau, LCSW
• Bloom Behavioral, PLLC (Bloom Behavioral)
• Jill E. Bloom, PA
• Blue Mountain Women's Health and Birth Center,PLLC
• Blue Ridge Christian Counseling
• Blue Ridge Nephrology Associates PC

• Family Nurse Practitioner in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.