Individual provider Active NPI

Susan Cramp Ball, MNSC, GNP-BC

  • Gerontology Nurse Practitioner
  • Pangburn, AR
National Provider Identifier
1447562988
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
A01447ANP Issued in AR
Practice address
111 Crestview Dr
Pangburn, AR 72121-8881
Phone
(501) 728-3164
Fax
(501) 728-3164
NPI assigned
Jul 13, 2010
Last updated
Jul 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X A01447ANP AR Primary

Addresses

Primary practice location

111 Crestview Dr
Pangburn, AR 72121-8881

Mailing address

111 Crestview Dr
Pangburn, AR 72121-8881
Phone (501) 728-3164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A01447ANPARMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
White River Health System Inc Past Accepting new patients

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": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1447562988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CRESTVIEW DR",
            "city": "PANGBURN",
            "state": "AR",
            "postal_code": "721218881",
            "telephone_number": "501-728-3164",
            "fax_number": "501-728-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CRESTVIEW DR",
            "city": "PANGBURN",
            "state": "AR",
            "postal_code": "721218881",
            "telephone_number": "501-728-3164",
            "fax_number": "501-728-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "SUSAN",
        "middle_name": "CRAMP",
        "name_prefix": "Ms.",
        "credential": "MNSC, GNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "A01447ANP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pangburn, AR

Sources for this page

Verify at the official NPI Registry.