Active NPI
Susan Toy Andrews, MD
- Family Medicine Physician
- Murfreesboro, TN
National Provider Identifier
1528090214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 13279
- Practice address
- 515 E Bell St
Murfreesboro, TN 37130-3001 - Phone
- (615) 890-9191
- Fax
- (615) 890-2200
- NPI assigned
- Jul 6, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 13279 | TN | Primary |
Addresses
Primary practice location
515 E Bell St
Murfreesboro, TN 37130-3001
Mailing address
515 E Bell St
Murfreesboro, TN 37130-3001
Phone (615) 890-9191
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3059247 | Other | TN | BLUE CROSS ID |
| 13279 | Other | TN | CERTIFICATION NUMBER |
| 3188534 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050201000934 | TN | Practitioner - Family Practice | 5991755761 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- sta@familypracticepartners.direct.emds.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528090214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 E BELL ST",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371303001",
"telephone_number": "615-890-9191",
"fax_number": "615-890-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 E BELL ST",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371303001",
"telephone_number": "615-890-9191",
"fax_number": "615-890-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "SUSAN",
"middle_name": "TOY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "13279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID",
"identifier": "3059247",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATION NUMBER",
"identifier": "13279",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3188534",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.