Susan Miranda Peoples, FNP MSN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APN 0000006292 Issued in TN

Practice address

219 Princeton Rd
Johnson City, TN 37601-2052

Phone

(423) 975-2200

Fax

(423) 975-2210

NPI assigned

Jul 21, 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 Helen Miranda Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1316967144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 DOUGLAS DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-283-9234",
            "fax_number": "423-975-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 PRINCETON RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012052",
            "telephone_number": "423-975-2200",
            "fax_number": "423-975-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEOPLES",
        "first_name": "SUSAN",
        "middle_name": "MIRANDA",
        "name_prefix": "Ms.",
        "credential": "FNP MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TN",
            "license": "RN 0000077907",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "APN 0000006292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MIRANDA",
            "middle_name": "HELEN",
            "prefix": "MS.",
            "credential": "MSN RN FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brooke Nicole Pennings, NP
• Daniel Lee Pennington, BSW
• Dori Ellen Pennucci, MS/CCC/SLP
• J Penny, D.P.T.
• Jessica Pennycuff
• Aaron W Perkins Jr., DPM
• Jonathan Junior Perkins, MED
• Rylea Jensen Perkins, PA
• Tina Jean Perkins, RN
• Katarina Perri, DPM

• Primary Care Nurse Practitioner in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Primary Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.