Active NPI
Suzan Antoinette Johnson, RN
- Nursing Care Agency
- Fremont, NE
National Provider Identifier
1366652620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 50181
- Practice address
- 1005 E 23Rd St
Suite 200
Fremont, NE 68025-0800 - Phone
- (866) 784-2329
- Fax
- (877) 550-6600
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 50181 | NE | Primary |
Addresses
Primary practice location
1005 E 23Rd St
Suite 200
Fremont, NE 68025-0800
Mailing address
333 N Irving St
Fremont, NE 68025-6349
Phone (402) 215-4890
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50181 | NE | MD | Nursing Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RTG Medical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Fremont, NE
- NPI 1215206024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366652620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N IRVING ST",
"city": "FREMONT",
"state": "NE",
"postal_code": "680256349",
"telephone_number": "402-215-4890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 E 23RD ST",
"address_2": "SUITE 200",
"city": "FREMONT",
"state": "NE",
"postal_code": "680250800",
"telephone_number": "866-784-2329",
"fax_number": "877-550-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "SUZAN",
"middle_name": "ANTOINETTE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NE",
"license": "50181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.