Susan Elizabeth Stone, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

201507083RN Issued in OR

Practice address

19333 SW Laurelhurst Way
Bend, OR 97702-3192

Phone

(541) 890-2540

NPI assigned

Jul 5, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Susan Elizabeth Broomfield Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492819200000",
    "number": "1336436823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19333 SW LAURELHURST WAY",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023192",
            "telephone_number": "541-890-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19333 SW LAURELHURST WAY",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023192",
            "telephone_number": "541-890-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2017-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "11392",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201507083RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BROOMFIELD",
            "middle_name": "ELIZABETH",
            "credential": "LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Taylor Rose Stockton, DNP, FNP
• Mathias L Stoenescu, MD
• Albert James Stone, MD
• Catherine Stone
• Debra J Stone, MSW, LCSW
• Gwen Stoolenwerk Waller, NTP
• Roger Taze Stoops, BC-HIS
• Roberta Stopler, LMFT, LPC
• Erin Storck
• McKenzie Storms, MA, LPC

• Psychiatric/Mental Health Registered Nurse in Bend, OR
• Providers in Bend, OR by specialty
• Psychiatric/Mental Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2017; 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.