Active NPI
Susan L Drust NP PLLC
- Clinic/Center
- Norton Shores, MI
National Provider Identifier
1174166052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- SUSAN L DRUST NP PLLC
- Practice address
- 296 Seminole Rd
Norton Shores, MI 49444-3733 - Phone
- (231) 375-5251
- Fax
- (231) 375-8439
- NPI assigned
- Oct 23, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Betty Eller
- Title
- Credentailing Coordinator
- Phone
- (231) 727-5211
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
296 Seminole Rd
Norton Shores, MI 49444-3733
Mailing address
296 Seminole Rd
Norton Shores, MI 49444-3733
Phone (231) 375-5251
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Norton Shores, MI
- NPI 1619907722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571788800000",
"number": "1174166052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 SEMINOLE RD",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494443733",
"telephone_number": "231-375-5251",
"fax_number": "231-375-8439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "296 SEMINOLE RD",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494443733",
"telephone_number": "231-375-5251",
"fax_number": "231-375-8439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN L DRUST NP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A",
"authorized_official_last_name": "ELLER",
"authorized_official_first_name": "BETTY",
"authorized_official_title_or_position": "CREDENTAILING COORDINATOR",
"authorized_official_telephone_number": "231-727-5211"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norton Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.