Individual provider Active NPI

Sussie Akrong, DNP

  • Family Nurse Practitioner
  • Humble, TX
National Provider Identifier
1437978293
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1177212 Issued in TX
Practice address
12702 Madison Boulder LN
Humble, TX 77346-8252
Phone
(832) 542-1554
NPI assigned
Oct 8, 2024
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1177212 TX Primary

Addresses

Primary practice location

12702 Madison Boulder LN
Humble, TX 77346-8252

Mailing address

12702 Madison Boulder LN
Humble, TX 77346-8252
Phone (832) 542-1554

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20250801001863 TX Practitioner - Nurse Practitioner 9739697780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1177212TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Hospice & Palliative Care LLC Current Accepting new patients
Infinity Nursing Resources Current Accepting new patients

Organizations & group practices 2

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": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1437978293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12702 MADISON BOULDER LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773468252",
            "telephone_number": "832-542-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12702 MADISON BOULDER LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773468252",
            "telephone_number": "832-542-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKRONG",
        "first_name": "SUSSIE",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1177212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.