Individual provider Active NPI

Susan Ann Andrews, RN, NP

  • Administrator Registered Nurse
  • Olean, NY
National Provider Identifier
1194009332
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
308713 Issued in NY
Practice address
1 Leo Moss Dr
Cattaraugus County Health Department
Olean, NY 14760-1100
Phone
(716) 701-3438
Fax
(716) 701-3744
NPI assigned
Oct 6, 2011
Last updated
Oct 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 333626 NY
Administrator Registered Nurse 163WA2000X 308713 NY Primary

Addresses

Primary practice location

1 Leo Moss Dr
Cattaraugus County Health Department
Olean, NY 14760-1100

Mailing address

1 Leo Moss Dr
Cattaraugus County Health Department
Olean, NY 14760-1100
Phone (716) 701-3438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
308713NYMDLicensed Practical Nurse
333626NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1194009332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LEO MOSS DR",
            "address_2": "CATTARAUGUS COUNTY HEALTH DEPARTMENT",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601100",
            "telephone_number": "716-701-3438",
            "fax_number": "716-701-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LEO MOSS DR",
            "address_2": "CATTARAUGUS COUNTY HEALTH DEPARTMENT",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601100",
            "telephone_number": "716-701-3438",
            "fax_number": "716-701-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "333626",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "308713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.