Susan Lynn McDaniel, ANP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A03696 Issued in AR

Practice address

4900 Kelley Hwy
Fort Smith, AR 72904

Phone

(479) 785-5700

Fax

(479) 785-5708

NPI assigned

Jun 5, 2012

Last updated

Oct 8, 2020By the provider in NPPES

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

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Ash Flat, AR
  • NPI 1699097436
  Medicare reassignment NPD
• Bradley Bibb, MD PLLC

  dba Access Medical Clinic Dardanelle

  • Rural Health Clinic/Center
  • Dardanelle, AR
  • NPI 1568904480
  NPD
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Chickasha, OK
  • NPI 1013724764
  NPD

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1437410545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9755 W. STATE HWY 22",
            "address_2": "P.O BOX 130",
            "city": "RATCLIFF",
            "state": "AR",
            "postal_code": "72951",
            "telephone_number": "479-431-2050",
            "fax_number": "479-431-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 KELLEY HWY",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72904",
            "telephone_number": "479-785-5700",
            "fax_number": "479-785-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolonda McCurtain, MHPP
• Alexy McDaniel, QBHP
• Andrea L McDaniel, LPN
• James A McDaniel, CRNA
• Kristie McDaniel, QBHP
• Rodney K McDonald, MD
• Samantha Dee McDonald, SLP
• Angela Mary McGahey, CNA
• Michael Owen McGehee, PTA
• Karen McGrew, LPN

• Family Nurse Practitioner in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.