Active NPI
Susan J Harrell, RN
- School Registered Nurse
- Denham Springs, LA
National Provider Identifier
1467061366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 078172
- Practice address
- 11300 Hwy 1033
Denham Springs, LA 70726-7072 - Phone
- (225) 337-4669
- NPI assigned
- Jul 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 078172 | LA | Primary |
Addresses
Primary practice location
11300 Hwy 1033
Denham Springs, LA 70726-7072
Mailing address
12521 Pleasant Ridge Dr
Walker, LA 70785-8301
Phone (225) 337-4669
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078172 | LA | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1467061366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12521 PLEASANT RIDGE DR",
"city": "WALKER",
"state": "LA",
"postal_code": "707858301",
"telephone_number": "225-337-4669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 HWY 1033",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707267072",
"telephone_number": "225-337-4669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELL",
"first_name": "SUSAN",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-27",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "LA",
"license": "078172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.