Active NPI
Susan Kay Eardley, ACNS-BC
- Acute Care Clinical Nurse Specialist
- Tacoma, WA
National Provider Identifier
1649792946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Clinical Nurse Specialist
- License
- AP60770997
- Practice address
- 1717 S J St
Tacoma, WA 98405-4933 - Phone
- (253) 426-4766
- NPI assigned
- Jul 9, 2017
- Last updated
- Jul 9, 2017
- 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 |
|---|---|---|---|---|
| Acute Care Clinical Nurse Specialist | 364SA2100X | AP60770997 | WA | Primary |
Addresses
Primary practice location
1717 S J St
Tacoma, WA 98405-4933
Mailing address
5505 89TH Avenue CT W
University Place, WA 98467-1540
Phone (253) 778-0900
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60770997 | WA | MD | Acute Care Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499558400000",
"number": "1649792946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5505 89TH AVENUE CT W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984671540",
"telephone_number": "253-778-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 S J ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054933",
"telephone_number": "253-426-4766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARDLEY",
"first_name": "SUSAN",
"middle_name": "KAY",
"credential": "ACNS-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-09",
"last_updated": "2017-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Acute Care",
"state": "WA",
"license": "AP60770997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.