Active NPI
Susan A. Troutman, NP
- Nurse Practitioner
- Hickory, NC
National Provider Identifier
1558324533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 005001107
- 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
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 | 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 005001107 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Nurse Practitioner
- Hickory, NC
- NPI 1184012353
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.