Susan Janet Schroeder Waldron, RN FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP128308 Issued in TX

Practice address

9900 Bren Road East
Minnetonka, MN 55343-7369

Phone

(952) 936-1300

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1255401550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 YELLOW RIBBON",
            "city": "BURNET",
            "state": "TX",
            "postal_code": "786114545",
            "telephone_number": "952-936-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BREN ROAD EAST",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553437369",
            "telephone_number": "952-936-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDRON",
        "first_name": "SUSAN",
        "middle_name": "JANET SCHROEDER",
        "credential": "RN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128308",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "876179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Waech
• William Walton Wagnild, DDS
• Samantha Andrea Wakefield, FNP-BC
• Brittany Alisha Ann Wakem Mottram
• Alexis Christensen Waldin, BCBA
• Walgreen Co
• Walker Community Services, Inc.
• Walker Senior Services, Inc.
• Jane Zhou Walker, PHARMD
• Jerome Richard Walker, M.D.

• Family Nurse Practitioner in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.