Individual provider Active NPI

Susan A. Troutman, NP

  • Nurse Practitioner
  • Hickory, NC
National Provider Identifier
1558324533
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
005001107 Issued in NC
Practice address
1985 Tate Blvd SE
Suite 757
Hickory, NC 28602-1469
Phone
(828) 320-0733
Fax
(828) 322-4374
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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 005001107 NC Primary

Addresses

Primary practice location

1985 Tate Blvd SE
Suite 757
Hickory, NC 28602-1469

Mailing address

1985 Tate Blvd SE
Suite 757
Hickory, NC 28602-1469
Phone (828) 320-0733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 11, 2015 through Aug 11, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005001107NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare of Hickory PLLC Nurse Practitioner Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1558324533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 TATE BLVD SE",
            "address_2": "SUITE 757",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021469",
            "telephone_number": "828-320-0733",
            "fax_number": "828-322-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 TATE BLVD SE",
            "address_2": "SUITE 757",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021469",
            "telephone_number": "828-320-0733",
            "fax_number": "828-322-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUTMAN",
        "first_name": "SUSAN",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "005001107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.