Susan D Geise, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

239475 Issued in WI

Practice address

1022 Fisher Rd
South Beloit, IL 61080-1102

Phone

(608) 289-5596

NPI assigned

Oct 22, 2019

Last updated

Oct 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1366085383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 FISCHER RD",
            "city": "SOUTH BELOIT",
            "state": "IL",
            "postal_code": "610801102",
            "telephone_number": "608-289-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 FISHER RD",
            "city": "SOUTH BELOIT",
            "state": "IL",
            "postal_code": "610801102",
            "telephone_number": "608-289-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISE",
        "first_name": "SUSAN",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "239475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "endpointDescription": "Computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1022 Fisher Rd",
            "city": "South Beloit",
            "state": "IL",
            "country_code": "US",
            "postal_code": "610801102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crusaders Central Clinic Association (Crusader Community Health South Beloit High School)
• Ellen Listing
• Natara J Elliott, CCM, CADC, LPC
• Fair Oaks Rehabilitation and Health Care Center, LLC (Fair Oaks Rehabilitation & Health Care Center)
• Jessica Garcia
• Janet Renee Kueker, PHARMD
• Hannah Lamarca, M.A., C-F SLP
• Jillian Rose Mazeika, CHIROPRACTOR
• Erica Lynn Myher, LPN
• Thuy T Nguyen, DO

• Registered Nurse in South Beloit, IL
• Providers in South Beloit, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.