Susan Harwood Kissell, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R069533 Issued in MD

Practice address

101 Cleveland Ave
Suite a
Martinsville, VA 24112-3700

Phone

(276) 632-4181

Fax

(276) 632-1559

NPI assigned

May 28, 2005

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)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Chesapeake Neurology and Behavioral Health, LLC

  • Specialist
  • Owings, MD
  • NPI 1275594640
  NPD (past)
• Heidi Daniels, PH.D., P.a.

  • Clinical Psychologist
  • Prince Frederick, MD
  • NPI 1538324595
  NPD (past)

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

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1386647832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CLEVELAND AVE",
            "address_2": "SUITE A",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123700",
            "telephone_number": "276-632-4181",
            "fax_number": "276-632-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CLEVELAND AVE",
            "address_2": "SUITE A",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123700",
            "telephone_number": "276-632-4181",
            "fax_number": "276-632-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSELL",
        "first_name": "SUSAN",
        "middle_name": "HARWOOD",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-28",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R069533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Martin Kaltwang, FNP-C
• Keaijah Kellum
• Lisa Lynn Kidd, HEALTHCARE PROVIDER
• Hansol Kim, DMD
• Alora Kissee
• Erin Nicole Knight, PA-C
• Zachary Knight, R.D.
• Kelly Luther Koebel, LPC
• Venkata Siva Manjari Kondisetti, M.D.
• Kroger Limited Partnership I

• Family Nurse Practitioner in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.