Active NPI
Susan P Barkauskie, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Wilmington, DE
National Provider Identifier
1194120089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- L8-0000179
- Practice address
- 500 W 10TH St
Wilmington, DE 19801-1422 - Phone
- (302) 232-5486
- NPI assigned
- Nov 4, 2014
- Last updated
- Feb 14, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | LG-0000793 | DE | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | L8-0000179 | DE | Primary |
Addresses
Primary practice location
500 W 10TH St
Wilmington, DE 19801-1422
Mailing address
21645 Willow Lane
Lewes, DE 19958
Phone (302) 745-6385
Other practice location 1
21444 Carmean Way
Georgetown, DE 19947-4572
Phone (302) 855-1233
Other names 1
- Susan P Mumford
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0000793 | DE | MD | Family Nurse Practitioner |
| L8-0000179 | DE | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1194120089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21645 WILLOW LANE",
"city": "LEWES",
"state": "DE",
"postal_code": "19958",
"telephone_number": "302-745-6385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W 10TH ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198011422",
"telephone_number": "302-232-5486"
}
],
"practiceLocations": [
{
"address_1": "21444 Carmean Way",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "DE",
"postal_code": "199474572",
"country_code": "US",
"telephone_number": "302-855-1233",
"fax_number": "302-855-2025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARKAUSKIE",
"first_name": "SUSAN",
"middle_name": "P",
"name_prefix": "Miss",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-04",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG-0000793",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DE",
"license": "L8-0000179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "MUMFORD",
"middle_name": "P",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.