Sue Ellen NG

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

215789 Issued in TX

Practice address

2516 Caparzo Dr
Cedar Park, TX 78613-1613

Phone

(512) 818-6748

NPI assigned

Dec 28, 2018

Last updated

Dec 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sue Ellen Davidson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1699247817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 CAPARZO DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131613",
            "telephone_number": "512-818-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 CAPARZO DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131613",
            "telephone_number": "512-818-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "SUE",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "215789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "DAVIDSON",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Christopher NG
• CHI Quynh Ngo, OD
• Anh Nguyen
• Anh-Tu Alexander Nguyen, DPT
• Dzung Huu Hoang Nguyen, D.D.S.
• May Nguyen

• Home Health Registered Nurse in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Home Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.