Individual provider Active NPI

Susan Schippman, A.R.N.P., B.C.

  • Family Nurse Practitioner
  • Spokane Valley, WA
National Provider Identifier
1609115393
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60313801 Issued in WA
Practice address
8817 E Mission Ave
Suite 106
Spokane Valley, WA 99212-5055
Phone
(509) 241-3742
Fax
(509) 474-9857
NPI assigned
Jan 31, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60313801 WA Primary

Addresses

Primary practice location

8817 E Mission Ave
Suite 106
Spokane Valley, WA 99212-5055

Mailing address

8817 E Mission Ave
Suite 106
Spokane Valley, WA 99212-5055
Phone (509) 241-3742

Other names 1

  • Susan Hamilton Former name

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

LicenseStateTypeSpecialty
AP60313801WAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1609115393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8817 E MISSION AVE",
            "address_2": "SUITE 106",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992125055",
            "telephone_number": "509-241-3742",
            "fax_number": "509-474-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8817 E MISSION AVE",
            "address_2": "SUITE 106",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992125055",
            "telephone_number": "509-241-3742",
            "fax_number": "509-474-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIPPMAN",
        "first_name": "SUSAN",
        "credential": "A.R.N.P., B.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60313801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HAMILTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.