Susan Evelyn Collins-Joerger, NEONATAL NURSE PRACT

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

APN.1440RX Issued in SC

Practice address

125 Commonwealth Dr
Greenville, SC 29615-4812

Phone

(864) 675-4428

NPI assigned

Dec 20, 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

Other names 1

• Ms. Susan Evelyn Collins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1275697625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TRAILS END",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296071738",
            "telephone_number": "864-884-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COMMONWEALTH DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154812",
            "telephone_number": "864-675-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS-JOERGER",
        "first_name": "SUSAN",
        "middle_name": "EVELYN",
        "name_prefix": "Ms.",
        "credential": "NEONATAL NURSE PRACT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "CA",
            "license": "LC#######",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "SC",
            "license": "APN.1440RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "COLLINS",
            "middle_name": "EVELYN",
            "prefix": "MS.",
            "credential": "N.N.P - BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Collaboration in Healing
• John Robert Collen, PA-C
• Hunter Alexander Collie, PHARMD
• Leigh Collier, FNP
• Thai Collier
• Aaron Matthew Collins, MD
• Brent Claude Collins, OD
• Grayson Hucks Collins, CRNA
• Hampton Wade Collins IV
• James Derek Collins, MD

• Neonatal Nurse Practitioner in Greenville, SC
• Providers in Greenville, SC by specialty
• Neonatal Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.