Active NPI
Susie Q. Baskin, MSN
- Neonatal Nurse Practitioner
- Memphis, TN
National Provider Identifier
1649449372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 6056
- Practice address
- 66 N. Pauline Street
Suite 101
Memphis, TN 38105 - Phone
- (901) 448-6936
- Fax
- (901) 448-7692
- NPI assigned
- Feb 27, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 6056 | TN | Primary |
Addresses
Primary practice location
66 N. Pauline Street
Suite 101
Memphis, TN 38105
Mailing address
50 N. Dunlap Street
Lebonheur Children'S Medical Center
Memphis, TN 38103
Phone (901) 287-4825
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02475341 | Medicaid | MS |
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
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6056 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1649449372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 N. DUNLAP STREET",
"address_2": "LEBONHEUR CHILDREN'S MEDICAL CENTER",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38103",
"telephone_number": "901-287-4825",
"fax_number": "901-287-4845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 N. PAULINE STREET",
"address_2": "SUITE 101",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38105",
"telephone_number": "901-448-6936",
"fax_number": "901-448-7692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASKIN",
"first_name": "SUSIE",
"middle_name": "Q.",
"name_prefix": "Ms.",
"credential": "MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-27",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "TN",
"license": "6056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02475341",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.