Organization Active NPI

A Susan Nelson, Arnp, Inc.

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Stuart, FL
National Provider Identifier
1265699854
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
3039062 Issued in FL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
302409100MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.