Individual provider Active NPI

Susan Ann Fishman, BSN, RN, CWOCN

  • Continence Care Registered Nurse
  • Eden Prairie, MN
National Provider Identifier
1699848200
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Continence Care Registered NurseTaxonomy code 163WC2100X
License
R088948-3 Issued in MN
Practice address
7060 Springhill Cir
Eden Prairie, MN 55346-2615
Phone
(952) 993-9632
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ostomy Care Registered Nurse 163WX1500X R088948-3 MN
Wound Care Registered Nurse 163WW0000X R088948-3 MN
Continence Care Registered Nurse 163WC2100X R088948-3 MN Primary

Addresses

Primary practice location

7060 Springhill Cir
Eden Prairie, MN 55346-2615

Mailing address

1840 Hunter LN
Mendota Heights, MN 55118-4109
Phone (651) 688-8179

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R088948-3MNMDOstomy Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1699848200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 HUNTER LN",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551184109",
            "telephone_number": "651-688-8179",
            "fax_number": "651-688-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7060 SPRINGHILL CIR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553462615",
            "telephone_number": "952-993-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN, CWOCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "MN",
            "license": "R088948-3",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "MN",
            "license": "R088948-3",
            "primary": false
        },
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": "MN",
            "license": "R088948-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.