Susanna Neely, MSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23431 Issued in TN

Practice address

8034 E Brainerd Rd
Chattanooga, TN 37421-3205

Phone

(423) 894-3836

NPI assigned

Nov 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Susanna Marunenko Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vibrant Medical Tennessee

  • Multi-Specialty Clinic/Center
  • Chattanooga, TN
  • NPI 1982297842
  NPD
• Daniel T Black

  • Family Medicine Physician
  • Sale Creek, TN
  • NPI 1245426188
  NPD (past)

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1225541279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8034 E BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213205",
            "telephone_number": "423-650-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8034 E BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213205",
            "telephone_number": "423-894-3836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Griffith St",
            "address_purpose": "LOCATION",
            "city": "Sale Creek",
            "state": "TN",
            "postal_code": "373739715",
            "country_code": "US",
            "telephone_number": "423-332-1813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2626 Peerless Rd NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373123732",
            "country_code": "US",
            "telephone_number": "423-614-3733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEELY",
        "first_name": "SUSANNA",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANNA",
            "last_name": "MARUNENKO",
            "credential": "BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carolyn Chalet Nechtman Stewart, SLP-CCC
• Needaridemedicaltransportllc
• Donna B Needham, RN
• David Neeley, DPH.
• Erin Hartsfield Neely, PA-C
• Brian H Negus, MD
• Jenni Rasnake Neighbors, M.D.
• Chenequa Neil
• Sonya Neil, RN
• Rachel Anne Neill, PT, DPT

• Family Nurse Practitioner in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.