Susan Lea Zickler, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A03627 Issued in AR

Practice address

103 E Crandall Ave
Harrison, AR 72601-3629

Phone

(870) 204-6126

Fax

(870) 204-6264

NPI assigned

Dec 9, 2011

Last updated

Dec 9, 2011By the provider in NPPES

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: szickler343157@directb.mercy.net

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

• Feet Plus Solutions Inc

  dba Prevention Plus

  • Internal Medicine Physician
  • Bentonville, AR
  • NPI 1376841171
  NPD (past)
• Advocates for a Healthy Community, Inc.

  dba Jordan Valley Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Springfield, MO
  • NPI 1366575573
  NPD (past)

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1336417997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 SE 28TH ST",
            "address_2": "SUITE 2",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123881",
            "telephone_number": "479-464-8834",
            "fax_number": "479-464-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E CRANDALL AVE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013629",
            "telephone_number": "870-204-6126",
            "fax_number": "870-204-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICKLER",
        "first_name": "SUSAN",
        "middle_name": "LEA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Yeager, QBHP
• Yellville - Summit School District
• Alice Youngblood, MHPP
• Youth Bridge
• Zachary D. Wallace, DDS, PLLC (Wallace Family Dental)

• Family Nurse Practitioner in Harrison, AR
• Providers in Harrison, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.

Verify at the official NPI Registry.