Individual provider Active NPI

Suzan V Von Ehr, APRN, BC

  • Family Nurse Practitioner
  • Valparaiso, IN
National Provider Identifier
1518065044
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71000056 Issued in IN
Practice address
2410 Allison Cir
Valparaiso, IN 46383-3973
Phone
(219) 707-9237
Fax
(219) 961-8300
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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 71000056 IN Primary

Addresses

Primary practice location

2410 Allison Cir
Valparaiso, IN 46383-3973

Mailing address

2410 Allison Cir
Valparaiso, IN 46383-3973
Phone (219) 707-9237

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71000056INMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1518065044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 ALLISON CIR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833973",
            "telephone_number": "219-707-9237",
            "fax_number": "219-961-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 ALLISON CIR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833973",
            "telephone_number": "219-707-9237",
            "fax_number": "219-961-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON EHR",
        "first_name": "SUZAN",
        "middle_name": "V",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.