Susan Jean McDowell, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L0038640 Issued in OK

Practice address

900 Owen Walters Blvd
Salina, OK 74365

Phone

(918) 434-8500

Fax

(918) 434-1903

NPI assigned

Dec 16, 2016

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1366986986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "SALINA",
            "state": "OK",
            "postal_code": "74365",
            "telephone_number": "918-434-8500",
            "fax_number": "918-434-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 OWEN WALTERS BLVD",
            "city": "SALINA",
            "state": "OK",
            "postal_code": "74365",
            "telephone_number": "918-434-8500",
            "fax_number": "918-434-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "SUSAN",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "L0038640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark James Keeley, R.D.,L.D.,C.D.E.
• Clint Kelley
• Erica Shaye King, PHARM. D.
• Diane Elizabeth Lay, R.D.
• Amanda Sarah Leonard, RD, LD
• Austin Silas Mitchell
• Shyla Motter
• Nickcole Munoz, FNP-C
• Neohealth Oklahoma Community Health Centers, Inc.
• Northeastern Oklahoma Community Health Centers, Inc.

• All providers in Salina, OK
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.