Individual provider Active NPI

Susan Lee McFall, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1669992822
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.020845 Issued in OH
Practice address
1258 Grandview Ave Ste a
Columbus, OH 43212-3469
Phone
(513) 509-7918
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.020845 OH Primary

Addresses

Primary practice location

1258 Grandview Ave Ste a
Columbus, OH 43212-3469

Mailing address

1258 Grandview Ave Ste a
Columbus, OH 43212-3469
Phone (513) 509-7918

Other practice location 1

14121 Parke Long Ct Ste 201
Chantilly, VA 20151-1647
Phone (513) 509-7918

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.020845OHMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669992822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 GRANDVIEW AVE STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123469",
            "telephone_number": "513-509-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 GRANDVIEW AVE STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123469",
            "telephone_number": "513-509-7918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14121 Parke Long Ct Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201511647",
            "country_code": "US",
            "telephone_number": "513-509-7918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCFALL",
        "first_name": "SUSAN",
        "middle_name": "LEE",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.020845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.