Active NPI
Susan York, NP
- Nurse Practitioner
- Barnhart, MO
National Provider Identifier
1407904352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 110915
- Practice address
- SSM Health Express Clinic
1718 Catlin Drive
Barnhart, MO 63012 - Phone
- (844) 776-7200
- NPI assigned
- Jan 8, 2007
- Last updated
- Oct 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 110915 | MO | Primary |
| Nurse Practitioner | 363L00000X | NP7328 | CA |
Addresses
Primary practice location
SSM Health Express Clinic
1718 Catlin Drive
Barnhart, MO 63012
Mailing address
PO Box 955534
Saint Louis, MO 63195-0001
Other practice location 1
4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | syork273893@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Depaul Medical Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- syork273893@direct-ehr-ssmhc.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba SSM Health Medical Group
- Internal Medicine Physician
- Maryland Heights, MO
- NPI 1760456743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1407904352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 955534",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631950001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SSM HEALTH EXPRESS CLINIC",
"address_2": "1718 CATLIN DRIVE",
"city": "BARNHART",
"state": "MO",
"postal_code": "63012",
"telephone_number": "844-776-7200"
}
],
"practiceLocations": [
{
"address_1": "4647 Zion Ave",
"address_purpose": "LOCATION",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921202507",
"country_code": "US",
"telephone_number": "619-528-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YORK",
"first_name": "SUSAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "110915",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP7328",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "syork273893@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "syork273893@direct-ehr-ssmhc.com",
"address_1": "SSM Health Express Clinic",
"address_2": "1718 Catlin Drive",
"city": "Barnhart",
"state": "MO",
"country_code": "US",
"postal_code": "63012",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "SSM Health Express Clinic",
"address_2": "1718 Catlin Drive",
"city": "Barnhart",
"state": "MO",
"country_code": "US",
"postal_code": "63012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Barnhart, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.