Susan Deann Priddy, RN, WCC

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

R0069035 Issued in OK

Practice address

10500 Ok Highway 78 S
Milburn, OK 73450-0027

Phone

(580) 257-0577

Fax

(580) 443-5253

NPI assigned

Feb 9, 2009

Last updated

Feb 9, 2009By the provider in NPPES

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": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1184863565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 OK HIGHWAY 78 S",
            "city": "MILBURN",
            "state": "OK",
            "postal_code": "734500027",
            "telephone_number": "580-257-0577",
            "fax_number": "580-443-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 OK HIGHWAY 78 S",
            "city": "MILBURN",
            "state": "OK",
            "postal_code": "734500027",
            "telephone_number": "580-257-0577",
            "fax_number": "580-443-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDDY",
        "first_name": "SUSAN",
        "middle_name": "DEANN",
        "credential": "RN, WCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "OK",
            "license": "R0069035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GKS Milburn Clinic LLC
• Rita Hart, MSW
• Leigh Isenberg
• Medicine Wheel Inc (Milburn Family Medicine Clinic)
• Katy Lynn Mowdy
• Cassandra Sallee, PA-C

• Wound Care Registered Nurse in Milburn, OK
• Providers in Milburn, OK by specialty
• Wound Care Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.