Susanne M Schenk, RN, CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

23749 Issued in WY

Practice address

555 E Broadway Ave Ste 201
Jackson, WY 83001-8640

Phone

(307) 739-7678

Fax

(307) 733-9720

NPI assigned

Jan 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1134637408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14642",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830024642",
            "telephone_number": "307-739-7678",
            "fax_number": "307-733-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E BROADWAY AVE STE 201",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018640",
            "telephone_number": "307-739-7678",
            "fax_number": "307-733-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENK",
        "first_name": "SUSANNE",
        "middle_name": "M",
        "credential": "RN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "WY",
            "license": "23749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Santacroce
• Angela Paola Santana, M.S., CCC-SLP
• Lauraq Elise Santomauro, MFT
• Kevin Sanville, MD
• Calvin P Schenk, PA
• Cassidy Schneider, RBT
• Schroeder Surgical Assisting LLC
• Christopher Philip Schroeder, SA-C
• Mark Schultheis, P.T., S.C.S.C.
• Joanne Scott, RN

• Diabetes Educator Registered Nurse in Jackson, WY
• Providers in Jackson, WY by specialty
• Diabetes Educator Registered Nurse in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.