Sue Ann Anderson, MS,APRN, BC, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71000394A Issued in IN

Practice address

209 Florence Ave
Granger, IN 46530-8048

Phone

(574) 246-1000

Fax

(574) 246-4000

NPI assigned

Nov 21, 2006

Last updated

Apr 8, 2015By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3596/brand/1/csg/1/fhir/r4

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.

• Ear, Nose and Throat of Michiana P.C.

  dba Campbell Ear, Nose and Throat

  • Specialist
  • Granger, IN
  • NPI 1295726198
  NPD

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1265507750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52130 S LAKESHORE DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465307843",
            "telephone_number": "574-273-9313",
            "fax_number": "574-273-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 FLORENCE AVE",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465308048",
            "telephone_number": "574-246-1000",
            "fax_number": "574-246-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SUE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS,APRN, BC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000394A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200217280",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David William Amrhein, M.D.
• Amy Kendall Dba
• Kendra Anderson, PHARMD.
• Lindsey H Anderson, M.D.
• Sarah M Anderson, MS
• Thomas John Anglemire, D.D.S.
• Marium Ansari
• Arborview Counseling, PC
• Stephen J Armet, DPT
• Anil Kumar Arora, OTR

• Family Nurse Practitioner in Granger, IN
• Providers in Granger, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.