Individual provider Active NPI

Susan R Curde, FNP

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1134305121
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7699 Issued in TN
Practice address
400 N State of Franklin Rd
Room 2746
Johnson City, TN 37604-6035
Phone
(423) 431-2727
Fax
(423) 431-6715
NPI assigned
Jan 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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 7699 TN Primary

Addresses

Primary practice location

400 N State of Franklin Rd
Room 2746
Johnson City, TN 37604-6035

Mailing address

400 N State of Franklin Rd
Room 2746
Johnson City, TN 37604-6035
Phone (423) 431-2727

Other identifiers 3

IdentifierTypeStateIssuer
3341525MedicaidTN
Q003291MedicaidTN
7100092220MedicaidKY

Other names 1

  • Susan R Ellis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20080207000575 TN Practitioner - Nurse Practitioner 0042393423 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

1800 W Market St
Johnson City, TN 37604-6023
Phone (931) 253-1110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7699TNMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Apr 1, 1995 Accepting new patients
Sweetwater Hospital Association CurrentSince Mar 1, 2022 Accepting new patients
Sweetwater Hospital Association Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Apr 1, 1995 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 6, 2023 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Sweetwater Hospital ER Physician Group CurrentSince Mar 1, 2022 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince Sep 1, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 6, 2023 Accepting new patients
Southeastern Physician Services PC CurrentSince Aug 1, 2016 Accepting new patients
Southeast Eight Medical Group, PLLC Past Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

3430 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 820-0033

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

400 N State of Franklin Rd
Rm 2746
Johnson City, TN 37604
Phone (423) 431-2727

2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

304 Church St
Sweetwater, TN 37874
Phone (865) 213-8200

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/sweet-8feb766f

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1134305121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N STATE OF FRANKLIN RD",
            "address_2": "ROOM 2746",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046035",
            "telephone_number": "423-431-2727",
            "fax_number": "423-431-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N STATE OF FRANKLIN RD",
            "address_2": "ROOM 2746",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046035",
            "telephone_number": "423-431-2727",
            "fax_number": "423-431-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURDE",
        "first_name": "SUSAN",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-21",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "7699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3341525",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q003291",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100092220",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ELLIS",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.