Susan T Russo, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN.0100009-CNS Issued in CO

Practice address

1970 E 3Rd Ave
Unit 1
Durango, CO 81301-5056

Phone

(970) 335-2288

Fax

(970) 335-2280

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Mrs. Susan T Levy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Southwest Colorado Mental Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durango, CO
  • NPI 1750901260
  NPD (past)
• Shifa Health PLLC

  • Cognitive & Behavioral Psychologist
  • Mount Vernon, WA
  • NPI 1356415327
  NPD (past)
• The Evergreen Clinic

  • Psychiatry Physician
  • Kirkland, WA
  • NPI 1447314539
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1255477196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SUTTLE ST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813038276",
            "telephone_number": "970-335-2232",
            "fax_number": "970-335-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 E 3RD AVE",
            "address_2": "UNIT 1",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015056",
            "telephone_number": "970-335-2288",
            "fax_number": "970-335-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "SUSAN",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "CO",
            "license": "APN.0100009-CNS",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0100009-CNS",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "309003290",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0100009-CNS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "LEVY",
            "middle_name": "T",
            "prefix": "MRS.",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victor C Ruggiero
• Darcy Marie Rumberger Denegre
• Jennifer Anne Rupp, MD
• David Rushworth, M.D., PH.D.
• Russ Pool Psychotherapy, LLC
• Ryan Naffziger, M.D., P.C.
• Ryan W. Whitman Family & Cosmetic Dentistry, PLLC
• Andrea L Ryan, DO
• Kaila Ryan, PHARMD
• S.O.L., LTD. Liability Company

• Psychiatric/Mental Health Nurse Practitioner in Durango, CO
• Providers in Durango, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.