Individual provider Active NPI

Suzanne Cothran, RNP

  • Wound Care Registered Nurse
  • Hazen, AR
National Provider Identifier
1376892687
Registry record updated Jan 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
R29161 Issued in AR
Practice address
92 S Maple St
Hazen, AR 72064-8203
Phone
(870) 255-4323
Fax
(870) 255-4910
NPI assigned
Aug 31, 2012
Last updated
Jan 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X R29161 AR Primary

Addresses

Primary practice location

92 S Maple St
Hazen, AR 72064-8203

Mailing address

941 McLean Ave
Suite 387
Yonkers, NY 10704-4107
Phone (914) 237-6797

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

State licenses

LicenseStateTypeSpecialty
R29161ARMDWound Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390176000000",
    "number": "1376892687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 MCLEAN AVE",
            "address_2": "SUITE 387",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107044107",
            "telephone_number": "914-237-6797",
            "fax_number": "914-237-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 S MAPLE ST",
            "city": "HAZEN",
            "state": "AR",
            "postal_code": "720648203",
            "telephone_number": "870-255-4323",
            "fax_number": "870-255-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTHRAN",
        "first_name": "SUZANNE",
        "credential": "RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2014-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "AR",
            "license": "R29161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazen, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.