Susan Sanger Nicholson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5223 Issued in CO

Practice address

2030 Mountain View Ave
Suite 400
Longmont, CO 80501-3182

Phone

(303) 702-5910

Fax

(303) 702-5935

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Health Stop LLC

  dba SmartCare Family Medical Centers

  • Clinic/Center
  • Aurora, CO
  • NPI 1649329830
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1558480756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 MOUNTAIN VIEW AVE",
            "address_2": "SUITE 400",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013178",
            "telephone_number": "303-702-5910",
            "fax_number": "303-702-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 MOUNTAIN VIEW AVE",
            "address_2": "SUITE 400",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013182",
            "telephone_number": "303-702-5910",
            "fax_number": "303-702-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "SUSAN",
        "middle_name": "SANGER",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "5223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03039277",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan Newens, ADC, LPCC
• Next Choice LLC (Next Choice Home Care)
• Nextera Healthcare PLLC
• Ngoc-Hieu Thi Nguyen, PA-C
• Nichols Pediatric Dentistry PLLC (Longmont Pediatric Dentistry)
• Nicole M Lee Counseling
• Daryl W Nielsen I, LPN
• Nicole Niles, RDH
• Mark Tyrone Nimmo, DC
• Joseph John Nissim, MD

• Family Nurse Practitioner in Longmont, CO
• Providers in Longmont, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.