Susan M Ecklund, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN20055 Issued in TN

Practice address

1022 Dollywood LN
Pigeon Forge, TN 37863-4113

Phone

(865) 868-1333

Fax

(865) 868-1307

NPI assigned

Mar 23, 2007

Last updated

Mar 21, 2016By 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

• Ms. Susan M Soldin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premise Health of Ohio Medical, P.a

  dba Dollywood Family Healthcare Center

  • Family Medicine Physician
  • Pigeon Forge, TN
  • NPI 1942346275
  NPD (past)
• Aiken Emergency Physicians

  • Primary Care Nurse Practitioner
  • Aiken, SC
  • NPI 1205622362
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1700903044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 DOLLYWOOD LN",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378634113",
            "telephone_number": "865-868-1333",
            "fax_number": "865-868-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 DOLLYWOOD LN",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378634113",
            "telephone_number": "865-868-1333",
            "fax_number": "865-868-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKLUND",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN20055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SOLDIN",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "RN-FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crescent Health Gatlinburg (First Med)
• Crescent Health MD Express (First Med MD Express)
• Crescent Health Pigion Forge (First Med)
• Crescent Health Suboxone Clinic (First Med Suboxone)
• Rocky W David, R.PH.
• First Med Inc (Pigeon Forge Medical Clinic)
• First Med Inc (First Med Kingsport)
• Morgan Machen Garfield, PHARMD
• J David Garmany, FNP
• Matthew Garner, PHARM.D.

• Family Nurse Practitioner in Pigeon Forge, TN
• Providers in Pigeon Forge, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.