Susan Beth Clearwater, R.N., B.S.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

28103070A Issued in IN

Practice address

2401 N Walnut St
Bloomington, IN 47404-2069

Phone

(812) 335-0640

Fax

(812) 333-0961

NPI assigned

Apr 10, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lois K Lambrecht MD PC

  • Internal Medicine Physician
  • Bloomington, IN
  • NPI 1184832057
  NPD (past)

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

{
    "created_epoch": "1270857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270857600000",
    "number": "1316263783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 N WALNUT ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474042069",
            "telephone_number": "812-335-0640",
            "fax_number": "812-333-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 N WALNUT ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474042069",
            "telephone_number": "812-335-0640",
            "fax_number": "812-333-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARWATER",
        "first_name": "SUSAN",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "R.N., B.S.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-10",
        "last_updated": "2010-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28103070A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Clark, NCC, LMHC
• Tristan Clarkson
• Clarus Imaging LLC
• William Oliver Clay, RBT
• Jennifer Claypoole
• Clematis Bloom Therapy LLC
• Adam Brian Clemens, ATC
• Lisa Erin Clemente, PA-C
• Andrew Clemons, RBT
• Rachel Clidienst, RBT

• Registered Nurse in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2010; 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.