Individual provider Active NPI

Susan Christine Conner, FNP

  • Family Nurse Practitioner
  • Kokomo, IN
National Provider Identifier
1730335571
Registry record updated Oct 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28204559A Issued in IN
Practice address
1765 E Lincoln Rd
Kokomo, IN 46902-3993
Phone
(765) 236-8380
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28204559A IN Primary

Addresses

Primary practice location

1765 E Lincoln Rd
Kokomo, IN 46902-3993

Mailing address

1765 E Lincoln Rd
Kokomo, IN 46902-3993
Phone (765) 236-8380

Other practice location 1

7911 Michigan Rd
Indianapolis, IN 46268-1915
Phone (317) 956-6288

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
28204559AINMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540684800000",
    "number": "1730335571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 E LINCOLN RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023993",
            "telephone_number": "765-236-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 E LINCOLN RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023993",
            "telephone_number": "765-236-8380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7911 Michigan Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462681915",
            "country_code": "US",
            "telephone_number": "317-956-6288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNER",
        "first_name": "SUSAN",
        "middle_name": "CHRISTINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2018-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28204559A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

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