Individual provider Active NPI

Susan S Buehner, ARNP

  • Pediatric Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1609893494
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
197P Issued in KY
Practice address
4171 Westport Rd
Louisville, KY 40207-2739
Phone
(502) 896-8868
Fax
(502) 895-8794
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 197P KY Primary

Addresses

Primary practice location

4171 Westport Rd
Louisville, KY 40207-2739

Mailing address

4171 Westport Rd
Louisville, KY 40207-2739
Phone (502) 896-8868

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
197PKYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Louisville Pediatrics, P.S.C. PastSince Oct 1, 2023 Accepting new patients
One Pediatrics, PLLC Pediatrics PastSince Jul 1, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609893494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4171 WESTPORT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072739",
            "telephone_number": "502-896-8868",
            "fax_number": "502-895-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 WESTPORT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072739",
            "telephone_number": "502-896-8868",
            "fax_number": "502-895-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUEHNER",
        "first_name": "SUSAN",
        "middle_name": "S",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "197P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.