Individual provider Active NPI

Louise Loe

  • Family Nurse Practitioner
  • Susanville, CA
National Provider Identifier
1669924171
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1016188 Issued in CA
Practice address
530 Howard CT Unit B
Susanville, CA 96130-3190
Phone
(252) 412-4015
NPI assigned
Oct 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9005754 CA
Family Nurse Practitioner 363LF0000X F1016188 CA Primary

Addresses

Primary practice location

530 Howard CT Unit B
Susanville, CA 96130-3190

Mailing address

530 Howard CT Unit B
Susanville, CA 96130-3190
Phone (252) 412-4015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171218001953 CA Practitioner - Nurse Practitioner 2163780305 Reassigns benefits to 1 organization
I20260224002005 AZ Practitioner - Nurse Practitioner 2163780305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Navajo Health Foundation-Sage Memorial Hospital, Inc.Group PAC ID 2163332347, 60 clinicians

Practice addresses (Care Compare)

State Hwy 264 JCT Hwy 191
Ganado, AZ 86505-0457
Phone 92875545004933

Hospital & facility affiliations

  • Sage Memorial Hospital Hospital, Ganado, AZ, CCN 031309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9005754CAMDFamily Medicine Physician
F1016188CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake County Tribal Health Consortium Inc. CurrentSince Dec 1, 2017 Accepting new patients
Lake County Tribal Health Southshore Clinic CurrentSince Dec 1, 2017 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital Inc CurrentSince Feb 9, 2026 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital, Inc. CurrentSince Feb 9, 2026 Accepting new patients

Locations

925 Bevins Ct
Lakeport, CA 95453
Phone (707) 263-8382

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1669924171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 HOWARD CT UNIT B",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961303190",
            "telephone_number": "252-412-4015",
            "fax_number": "707-264-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 HOWARD CT UNIT B",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961303190",
            "telephone_number": "252-412-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOE",
        "first_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "9005754",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F1016188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Susanville, CA

Sources for this page

Verify at the official NPI Registry.