Active NPI
Susan Nininger Bidwell, RN
- Registered Nurse
- Murfreesboro, TN
National Provider Identifier
1699245415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 000080712
- Practice address
- 2208 E Main St
Murfreesboro, TN 37130-5800 - Phone
- (615) 890-1003
- NPI assigned
- Dec 5, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 000080712 | TN | Primary |
Addresses
Primary practice location
2208 E Main St
Murfreesboro, TN 37130-5800
Mailing address
1407 Balmoral Way
Murfreesboro, TN 37130-5640
Phone (615) 896-1854
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000080712 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Kids Inc | Registered Nurse | Past | Accepting new patients |
Organizations & group practices 1
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": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1699245415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 BALMORAL WAY",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371305640",
"telephone_number": "615-896-1854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2208 E MAIN ST",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371305800",
"telephone_number": "615-890-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIDWELL",
"first_name": "SUSAN",
"middle_name": "NININGER",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-05",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "000080712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.