Individual provider Active NPI

Sue C Hirsch, GNP, BC

  • Nurse Practitioner
  • Newport, TN
National Provider Identifier
1194814798
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
13185 Issued in TN
Practice address
375 Hedrick Dr
Newport, TN 37821-2920
Phone
(865) 277-6310
Fax
(865) 277-6310
NPI assigned
Oct 12, 2006
Last updated
Jul 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NN045235 NJ
Nurse Practitioner 363L00000X 13185 TN Primary
Gerontology Nurse Practitioner 363LG0600X APN0000013185 TN

Addresses

Primary practice location

375 Hedrick Dr
Newport, TN 37821-2920

Mailing address

1979 Chelsea Jo LN
Sevierville, TN 37876-7022
Phone (865) 277-6310

Other identifiers 2

IdentifierTypeStateIssuer
1522992MedicaidTN
1514863MedicaidTN

Other names 1

  • Mrs. Sue C Hamilton-Hirsch Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090820000795 TN Practitioner - Nurse Practitioner 0244384527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NN045235NJMDNurse Practitioner
APN0000013185TNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit View Health Services, LLC Current Accepting new patients
Superior Health Solutions LLC PastSince Jun 1, 2009 Accepting new patients
Behavior Health Consultants LLC PastSince May 10, 2020 Accepting new patients

Locations

10805 Harding Dr
Knoxville, TN 37932
Phone (865) 675-6444

375 Hedrick Dr
Newport, TN 37821
Phone (423) 613-4585

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1194814798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 CHELSEA JO LN",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378767022",
            "telephone_number": "865-277-6310",
            "fax_number": "865-277-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 HEDRICK DR",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378212920",
            "telephone_number": "865-277-6310",
            "fax_number": "865-277-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "SUE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "GNP, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "NN045235",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "13185",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "APN0000013185",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522992",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514863",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "HAMILTON-HIRSCH",
            "middle_name": "C",
            "prefix": "MRS.",
            "credential": "MSN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newport, TN

Sources for this page

Verify at the official NPI Registry.