Active NPI
A Susan Nelson, Arnp, Inc.
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Stuart, FL
National Provider Identifier
1265699854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 3039062
- Legal business name
- A SUSAN NELSON, ARNP, INC.
- Practice address
- 1711 NW Federal Hwy
Stuart, FL 34994-9631 - Phone
- (772) 692-3140
- Fax
- (772) 692-3144
- NPI assigned
- May 21, 2008
- Last updated
- May 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. A Susan Nelson, PH.D., ARNP
- Title
- Clinical Nurse Specialist
- Phone
- (772) 692-3140
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 3039062 | FL | Primary |
Addresses
Primary practice location
1711 NW Federal Hwy
Stuart, FL 34994-9631
Mailing address
3098 SE Bur St
Port Saint Lucie, FL 34952-5855
Phone (772) 692-3140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302409100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1711 NW Federal Hwy
Stuart, FL 34994
Phone (772) 214-0613
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Stuart, FL
- NPI 1881140671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211328000000",
"number": "1265699854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3098 SE BUR ST",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349525855",
"telephone_number": "772-692-3140",
"fax_number": "772-692-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 NW FEDERAL HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349949631",
"telephone_number": "772-692-3140",
"fax_number": "772-692-3144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A SUSAN NELSON, ARNP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-21",
"last_updated": "2008-05-21",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "A SUSAN",
"authorized_official_title_or_position": "CLINICAL NURSE SPECIALIST",
"authorized_official_telephone_number": "772-692-3140",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D., ARNP"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "FL",
"license": "3039062",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "302409100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.