Active NPI
Susan S Harada, RN, MN, NP, COHN-S
- Occupational Health Nurse Practitioner
- Thousand Oaks, CA
National Provider Identifier
1194019448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Nurse Practitioner
- License
- RN 454758
- Practice address
- 405 Bedford PL
Thousand Oaks, CA 91360-5329 - Phone
- (805) 497-2586
- NPI assigned
- Jun 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Health Nurse Practitioner | 363LX0106X | RN 454758 | CA | Primary |
Addresses
Primary practice location
405 Bedford PL
Thousand Oaks, CA 91360-5329
Mailing address
405 Bedford PL
Thousand Oaks, CA 91360-5329
Phone (805) 497-2586
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN 454758 | CA | MD | Occupational Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307059200000",
"number": "1194019448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 BEDFORD PL",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913605329",
"telephone_number": "805-497-2586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 BEDFORD PL",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913605329",
"telephone_number": "805-497-2586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARADA",
"first_name": "SUSAN",
"middle_name": "S",
"credential": "RN, MN, NP, COHN-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-03",
"last_updated": "2011-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "CA",
"license": "RN 454758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.