Susan L Briggs, ARNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

F074789NP Issued in IA

Practice address

1510 E Rusholme St
Davenport, IA 52803-2463

Phone

(563) 359-6633

Fax

(563) 359-5261

NPI assigned

Oct 5, 2006

Last updated

Feb 24, 2014By 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 2

Addresses

Other identifiers 1

Other names 1

• Susan L Brick Other name

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1366538621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4557",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503054557",
            "telephone_number": "866-290-4325",
            "fax_number": "515-280-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032463",
            "telephone_number": "563-359-6633",
            "fax_number": "563-359-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGGS",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "F074789",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "F074789NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA BOARD OF NURSING",
            "identifier": "F074789",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BRICK",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Johnny Edward Brian Jr., MD
• Bridge-Davenport, LP (Country Manor Memory Care)
• Bridgecare ABA Ia LLC
• Thomas Briegel, LMT
• Tara Marie Bries, MPT
• Bright Path Counseling LLC
• Amy Lynn Bright, FNP-C
• Brighter Day Health LLC
• Andrew Brill, DDS
• Rachel Erin Brill, DDS

• Women's Health Nurse Practitioner in Davenport, IA
• Providers in Davenport, IA by specialty
• Women's Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.