Individual provider Active NPI

Colleen Margaret Susskraut, NP

  • Family Nurse Practitioner
  • Springville, NY
National Provider Identifier
1316436835
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344436 Issued in NY
Practice address
25 E Main St
Springville, NY 14141-1244
Phone
(716) 592-2832
Fax
(716) 592-4452
NPI assigned
May 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ARNP9366415 FL
Family Nurse Practitioner 363LF0000X F344436 NY Primary

Addresses

Primary practice location

25 E Main St
Springville, NY 14141-1244

Mailing address

25 E Main St
Springville, NY 14141-1244
Phone (716) 592-2832

Other practice location 1

210 Lookout Pl
Maitland, FL 32751-4491
Phone (407) 215-0400 ext. 105

Other practice location 2

275 Thomas Indian School Dr
Irving, NY 14081-9341
Phone (716) 532-5582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9366415FLMDFamily Medicine Physician
F344436NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Pediatrics of Central Florida, PL Past Accepting new patients
Seneca Nation of Indians Past Accepting new patients
Sunshine Pediatrics of Central Florida Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13830/brand/1/csg/1/fhir/r4
  • Direct secure messaging: csusskraut@springvillepeds.medentdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1316436835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E MAIN ST",
            "city": "SPRINGVILLE",
            "state": "NY",
            "postal_code": "141411244",
            "telephone_number": "716-592-2832",
            "fax_number": "716-592-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E MAIN ST",
            "city": "SPRINGVILLE",
            "state": "NY",
            "postal_code": "141411244",
            "telephone_number": "716-592-2832",
            "fax_number": "716-592-4452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Lookout Pl",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327514491",
            "country_code": "US",
            "telephone_number": "407-215-0400 x105",
            "fax_number": "407-215-0402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Thomas Indian School Dr",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "NY",
            "postal_code": "140819341",
            "country_code": "US",
            "telephone_number": "716-532-5582",
            "fax_number": "716-242-6344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUSSKRAUT",
        "first_name": "COLLEEN",
        "middle_name": "MARGARET",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ARNP9366415",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.