Susan Renae Berliner, FNP, DNP
Individual provider Active NPI Family Nurse Practitioner · McCloud, CA
NPI 1497402200 · NPPES record last updated Dec 5, 2024
Key facts
- NPI
- 1497402200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95032528 (CA)
- Practice address
- 116 W. Minnesota Ave.
McCloud, CA 96057-9605 - Phone
- (530) 964-2389
- NPI assigned
- Mar 2, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95032528 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCloud Healthcare Clinic, Inc. | Past | Accepting new patients |
Interoperability endpoints
- susan.berliner.1@25248.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95032528 | CA | Yes |
Addresses
Primary practice location
116 W. Minnesota Ave.
McCloud, CA 96057-9605
Mailing address
2622 Sapphire LN
Anderson, CA 96007-3679
Phone (530) 370-9028
Other providers in McCloud, CA
All providers in McCloud, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.