Individual provider Active NPI

Suzan Lanore Timbs, NP

  • Critical Care Neonatal Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1194179598
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
AP109956 Issued in TX
Practice address
7101 S Padre Island Dr
Nicu
Corpus Christi, TX 78412-4913
Phone
(361) 761-1200
Fax
(361) 761-3353
NPI assigned
Apr 21, 2016
Last updated
Apr 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X AP109956 TX Primary

Addresses

Primary practice location

7101 S Padre Island Dr
Nicu
Corpus Christi, TX 78412-4913

Mailing address

7101 S Padre Island Dr
Nicu
Corpus Christi, TX 78412-4913
Phone (361) 761-1200

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

State licenses

LicenseStateTypeSpecialty
AP109956TXMDCritical Care Neonatal Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1194179598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 S PADRE ISLAND DR",
            "address_2": "NICU",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124913",
            "telephone_number": "361-761-1200",
            "fax_number": "361-761-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 S PADRE ISLAND DR",
            "address_2": "NICU",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124913",
            "telephone_number": "361-761-1200",
            "fax_number": "361-761-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMBS",
        "first_name": "SUZAN",
        "middle_name": "LANORE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "TX",
            "license": "AP109956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.