Active NPI
Susan Kimbrell, CNS
- Clinical Nurse Specialist
- Rogers, AR
National Provider Identifier
1326222183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- S02219 CNS
- Practice address
- 593 Horsebarn Rd Ste 101
Rogers, AR 72758-8797 - Phone
- (479) 271-9191
- Fax
- (479) 271-9196
- NPI assigned
- Dec 28, 2007
- Last updated
- Aug 16, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | S02219 CNS | AR | Primary |
Addresses
Primary practice location
593 Horsebarn Rd Ste 101
Rogers, AR 72758-8797
Mailing address
593 Horsebarn Rd Ste 101
Rogers, AR 72758-8797
Phone (479) 271-9191
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)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S02219 CNS | AR | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1326222183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 HORSEBARN RD STE 101",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588797",
"telephone_number": "479-271-9191",
"fax_number": "479-271-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 HORSEBARN RD STE 101",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588797",
"telephone_number": "479-271-9191",
"fax_number": "479-271-9196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBRELL",
"first_name": "SUSAN",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-28",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "AR",
"license": "S02219 CNS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.