Susan W Donckers, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024038239 Issued in VA

Practice address

4903 Starkey Rd
Suite 300
Roanoke, VA 24018

Phone

(540) 776-7630

Fax

(540) 776-7631

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326078080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 STARKEY RD",
            "address_2": "SUITE 300",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-776-7630",
            "fax_number": "540-776-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 STARKEY RD",
            "address_2": "SUITE 300",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-776-7630",
            "fax_number": "540-776-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONCKERS",
        "first_name": "SUSAN",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024038239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Michael Donahue, NP
• Sarah Mae Donahue, CNM
• Donald Anderson
• Donald J Stefl, DPM
• Michael A Donato, D.O.
• Erica Donica, LCSW
• Thomas Joseph Donohue, MD
• Amy W Doolan, D.O.
• Amanda Stovall Dooley, LSW, MSW
• Debra C. Dooley, N.P.

• Nurse Practitioner in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.