Active NPI
Susan Arnold
- School Registered Nurse
- Utica, NE
National Provider Identifier
1194239830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 41386
- Practice address
- 1301 Centennial Ave
Utica, NE 68456-6168 - Phone
- (402) 534-2321
- Fax
- (402) 534-2291
- NPI assigned
- Nov 16, 2017
- Last updated
- Nov 16, 2017
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 41386 | NE | Primary |
Addresses
Primary practice location
1301 Centennial Ave
Utica, NE 68456-6168
Mailing address
PO Box 187
Utica, NE 68456-0187
Phone (402) 534-2321
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41386 | NE | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centennial Public School | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Utica, NE
- NPI 1295496552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510790400000",
"number": "1194239830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 187",
"city": "UTICA",
"state": "NE",
"postal_code": "684560187",
"telephone_number": "402-534-2321",
"fax_number": "402-534-2291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 CENTENNIAL AVE",
"city": "UTICA",
"state": "NE",
"postal_code": "684566168",
"telephone_number": "402-534-2321",
"fax_number": "402-534-2291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-16",
"last_updated": "2017-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NE",
"license": "41386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Utica, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.