Individual provider Active NPI

Susann Conner O'Connor, CRNP

  • Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1528009784
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1077257 Issued in AL
Practice address
6701 Airport Blvd
Suite a-101
Mobile, AL 36608-6705
Phone
(251) 633-8880
Fax
(251) 634-4507
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1077257 AL Primary

Addresses

Primary practice location

6701 Airport Blvd
Suite a-101
Mobile, AL 36608-6705

Mailing address

6701 Airport Blvd Ste A101
Mobile, AL 36608-6767
Phone (251) 633-8880

Other names 1

  • Ramona Susann O'Connor Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040311000628 AL Practitioner - Nurse Practitioner 9830088699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of South Alabama Health Care AuthorityGroup PAC ID 4082986088, 80 clinicians

Practice addresses (Care Compare)

2423 Schillinger Rd S
Mobile, AL 36695-4136
Phone (251) 660-5950

6300 USA Health Blvd
Mobile, AL 36608-0020
Phone (251) 633-8880

6304 USA Health Blvd
Mobile, AL 36608-0020
Phone (251) 633-8880

75 S University Blvd
Suite 6000 a
Mobile, AL 36608-3271
Phone (251) 660-5787

Hospital & facility affiliations

  • Jackson Medical Center Hospital, Jackson, AL, CCN 010128
  • USA Health University Hospital Hospital, Mobile, AL, CCN 010087
  • Singing River Health System Hospital, Pascagoula, MS, CCN 250040
  • Grove Hill Memorial Hospital Hospital, Grove Hill, AL, CCN 010091
  • George Regional Health System Hospital, Lucedale, MS, CCN 250036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1077257ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Health Care Authority CurrentSince Aug 1, 2017 Accepting new patients

Locations

6304 USA Health Blvd
Mobile, AL 36608
Phone (251) 633-8880

6300 USA Health Blvd
Mobile, AL 36608
Phone (251) 633-8880

75 S University Blvd
Mobile, AL 36608
Phone (251) 471-7870

6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880

2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950

2270 Hillcrest Rd
Mobile, AL 36695
Phone (251) 666-2213

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

Interoperability endpoints

  • Direct secure messaging: susann.o.connor.1@16253.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1528009784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE A101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086767",
            "telephone_number": "251-633-8880",
            "fax_number": "251-378-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD",
            "address_2": "SUITE A-101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086705",
            "telephone_number": "251-633-8880",
            "fax_number": "251-634-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "SUSANN",
        "middle_name": "CONNER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1077257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMONA",
            "last_name": "O'CONNOR",
            "middle_name": "SUSANN",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.