Susan Beverly Delucia, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

198430 Issued in NC

Practice address

815 Lake Park Dr Apt 104
Davidson, NC 28036-5536

Phone

(412) 913-1971

NPI assigned

Jun 15, 2019

Sex

Female

Sole proprietor

Yes

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": "1560556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560556800000",
    "number": "1154981801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 LAKE PARK DR APT 104",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280365536",
            "telephone_number": "412-913-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 LAKE PARK DR APT 104",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280365536",
            "telephone_number": "412-913-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCIA",
        "first_name": "SUSAN",
        "middle_name": "BEVERLY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-15",
        "last_updated": "2019-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "198430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Hopkins Davis, OTR/L
• Jacqueline Lesko Davis
• Lindsey Marie Davis, MHA, ATC, LAT
• Melissa G Deal, ANP-BC
• Stephanie Dearmin, MSW, LCSW
• Nicole Anna Desantis, DO
• Sharon Devries, MA, LCMHCA
• Gretchen Dijohn
• Diversified Medical, PLLC
• Tyler John Dodds, MD

• Registered Nurse in Davidson, NC
• Providers in Davidson, NC by specialty
• Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2019; 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.