Suzanne Nicholas LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

E-9434 Issued in AR

Legal business name

SUZANNE NICHOLAS LLC

Practice address

2224 Riverfront LN
Fayetteville, AR 72703-9527

Phone

(501) 538-9601

NPI assigned

Feb 24, 2017

Organization subpart

No

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

Authorized official

Name

Suzanne Nicholas

Title

MD

Phone

(501) 538-9601

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1609316694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 RIVERFRONT LN",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727039527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 RIVERFRONT LN",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727039527",
            "telephone_number": "501-538-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE NICHOLAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "501-538-9601"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-9434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Sutherland
• Anne Elizabeth Sutton, D.O.
• Robert Anderson Sutton
• Britny Dawn Sutulovich, ANP
• Julia Suzak, MD
• Kari Swain
• Sarah Swainston, PT, DPT, ATC
• Benjamin Swanson
• Lauren Swanson
• Shayla Marie Swanson, D.C.

• Psychiatry Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.