Active NPI
Susan L Guthart, APNP
- Nurse Practitioner
- Elkhorn, WI
National Provider Identifier
1538631296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 8940
- Practice address
- 201 E Morrissey Dr
Elkhorn, WI 53121-4395 - Phone
- (262) 741-1900
- NPI assigned
- Dec 19, 2018
- Last updated
- Nov 23, 2021
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 8940 | WI | Primary |
Addresses
Primary practice location
201 E Morrissey Dr
Elkhorn, WI 53121-4395
Mailing address
201 E Morrissey Dr
Elkhorn, WI 53121-4395
Phone (262) 741-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100085846 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sguthart195164@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8940 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1538631296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E MORRISSEY DR",
"city": "ELKHORN",
"state": "WI",
"postal_code": "531214395",
"telephone_number": "262-741-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E MORRISSEY DR",
"city": "ELKHORN",
"state": "WI",
"postal_code": "531214395",
"telephone_number": "262-741-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTHART",
"first_name": "SUSAN",
"middle_name": "L",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-19",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "8940",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100085846",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sguthart195164@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "201 E Morrissey Dr",
"city": "Elkhorn",
"state": "WI",
"country_code": "US",
"postal_code": "531214395",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "201 E Morrissey Dr",
"city": "Elkhorn",
"state": "WI",
"country_code": "US",
"postal_code": "531214395",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Elkhorn, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.