Your Health Consultant

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

YOUR HEALTH CONSULTANT

Practice address

609 E Wells St Ste B
Ash Grove, MO 65604-9087

Phone

(417) 234-3621

NPI assigned

Jul 29, 2020

Organization subpart

No

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

Authorized official

Name

Susan Marie Klotz, FNP-BCNPI 1033555933

Title

Provider/Owner

Phone

(417) 234-3621

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Your Health Consultant Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan M Klotz, FNP-C

  • Family Nurse Practitioner
  • Ash Grove, MO
  • NPI 1033555933
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1134738735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 E WELLS ST STE B",
            "city": "ASH GROVE",
            "state": "MO",
            "postal_code": "656049087",
            "telephone_number": "417-234-3621",
            "fax_number": "949-655-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E WELLS ST STE B",
            "city": "ASH GROVE",
            "state": "MO",
            "postal_code": "656049087",
            "telephone_number": "417-234-3621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12374 W Farm Road 60",
            "address_purpose": "LOCATION",
            "city": "Ash Grove",
            "state": "MO",
            "postal_code": "656048766",
            "country_code": "US",
            "telephone_number": "417-234-3621",
            "fax_number": "949-655-7855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 E Primrose St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658047929",
            "country_code": "US",
            "telephone_number": "417-885-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUR HEALTH CONSULTANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "KLOTZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "417-234-3621",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033555933",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yourhealthconsultant@outlook.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12374 W Farm Road 60",
            "city": "Ash Grove",
            "state": "MO",
            "country_code": "US",
            "postal_code": "656048766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Your Health Consultant",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Nurse Practitioner in Ash Grove, MO
• Providers in Ash Grove, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.