Susan C Carnahan Lake Bum Delivery

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1142 Issued in TN

Legal business name

SUSAN C CARNAHAN LAKE BUM DELIVERY

Practice address

1454 Francis Station Dr
Knoxville, TN 37909-1123

Phone

(865) 207-7855

NPI assigned

Jun 11, 2018

Organization subpart

No

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

Authorized official

Name

Susan Carnahan, OTNPI 1164766671

Title

Owner

Phone

(865) 207-7855

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Carol Carnahan, OTR/L

  • Occupational Therapist
  • La Follette, TN
  • NPI 1164766671
  NPD Authorized official

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1295228666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 FRANCIS STATION DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091123",
            "telephone_number": "865-207-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 FRANCIS STATION DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091123",
            "telephone_number": "865-207-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN C CARNAHAN LAKE BUM DELIVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "CARNAHAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-207-7855",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "1142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1142",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Urath Suresh, MD
• Surgery Center of Knox County, PC
• Surgery on Sunday - East Tennessee
• Surgical Oncology Associates
• Samantha Surprenant
• Susan Carter & Associates, Inc
• Susan Dodd, MD, PLLC
• Allison Marie Susman, NP-C
• Cassandra A Susman, M.D.
• Michael Wen Susman, M.D., PH.D.

• Occupational Therapist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.