Active NPI
Susan Kaye Taylor, CNP
- Psychiatric/Mental Health Nurse Practitioner
- Ft Thompson, SD
National Provider Identifier
1588754527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CP001359
- Practice address
- Indian Health Service
Ft Thompson, SD 57339 - Phone
- (605) 245-1513
- NPI assigned
- Oct 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CP001359 | SD | Primary |
| Community Health Registered Nurse | 163WC1500X | R027693 | SD |
Addresses
Primary practice location
Indian Health Service
Ft Thompson, SD 57339
Mailing address
19751 336TH Ave
Highmore, SD 57345
Phone (605) 852-2774
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
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R027693 | SD | MD | Community Health Registered Nurse |
| CP001359 | SD | MD | Psychiatric/Mental Health Nurse Practitioner |
Interoperability endpoints
- susan.taylor.1@22114.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1588754527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19751 336TH AVE",
"city": "HIGHMORE",
"state": "SD",
"postal_code": "57345",
"telephone_number": "605-852-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "INDIAN HEALTH SERVICE",
"city": "FT THOMPSON",
"state": "SD",
"postal_code": "57339",
"telephone_number": "605-245-1513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "SUSAN",
"middle_name": "KAYE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SD",
"license": "CP001359",
"primary": true
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "SD",
"license": "R027693",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Thompson, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.