Susan Elizabeth Wright, NP, CNM

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

4704098998 Issued in MI

Practice address

509 Hazen St
Paw Paw, MI 49079-1057

Phone

(269) 657-6058

Fax

(269) 657-5996

NPI assigned

Dec 14, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1720063431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37360 52ND AVE",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490799334",
            "telephone_number": "269-207-4502",
            "fax_number": "269-657-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 HAZEN ST",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791057",
            "telephone_number": "269-657-6058",
            "fax_number": "269-657-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "NP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MI",
            "license": "4704098998",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704098998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Lynn Wilson, LLP, LPC, NCC
• Rebecca Ann Winger, MA QBHP
• Jacob Allen Wolfzorn, LLPC
• Nicole Wolvin
• Mariah K Woods
• Lily Mae Yeider
• Adriana Yellig, MASTERS LTD. PSYCHOL
• Shellie Young
• Gina Zagaroli, N.P.
• Andrew Michael Zolp, PA-C

• Women's Health Nurse Practitioner in Paw Paw, MI
• Providers in Paw Paw, MI by specialty
• Women's Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.