Individual provider Active NPI

Ashley Lynn Susie, DC

  • Chiropractor
  • Clinton, IA
National Provider Identifier
1437627734
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
094120 Issued in IA
Practice address
3008 Lincoln Way Ste B
Clinton, IA 52732-7240
Phone
(563) 503-4255
NPI assigned
Nov 5, 2018
Last updated
Mar 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003073A IN
Chiropractor 111N00000X 094120 IA Primary

Addresses

Primary practice location

3008 Lincoln Way Ste B
Clinton, IA 52732-7240

Mailing address

1495 Main Ave
Clinton, IA 52732-1920
Phone (563) 503-2802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200430001120 IA Practitioner - Chiropractic 9032456520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3008 Lincoln Way
Suite B
Clinton, IA 52732-7240

3008 Lincoln Way
Suite B
Clinton, IA 52732-7253
Phone (563) 503-4255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08003073AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Susie Chiropractic PLLC CurrentSince Mar 27, 2020 Accepting new patients

Locations

3008 Lincoln Way
Ste B
Clinton, IA 52732
Phone (563) 503-4255

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.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1437627734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 MAIN AVE",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527321920",
            "telephone_number": "563-503-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 LINCOLN WAY STE B",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527327240",
            "telephone_number": "563-503-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSIE",
        "first_name": "ASHLEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003073A",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "094120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.