Active NPI
Susan P. Firestone, R.N.
- Registered Nurse
- Porterville, CA
National Provider Identifier
1730369273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN 364673
- Practice address
- 303 E Olive Ave
Porterville, CA 93257-4871 - Phone
- (559) 782-3901
- Fax
- (559) 782-3911
- NPI assigned
- Nov 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 364673 | CA | Primary |
Addresses
Primary practice location
303 E Olive Ave
Porterville, CA 93257-4871
Mailing address
303 E Olive Ave
Porterville, CA 93257-4871
Phone (559) 782-3901
Other names 1
- Mrs. Susan P. Van Horn
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 364673 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Tulare | Past | Accepting new patients | |
| County of Tulare | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Porterville, CA
- NPI 1053356634
-
- Community/Behavioral Health Agency
- Porterville, CA
- NPI 1518418581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194912000000",
"number": "1730369273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 E OLIVE AVE",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932574871",
"telephone_number": "559-782-3901",
"fax_number": "559-782-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E OLIVE AVE",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932574871",
"telephone_number": "559-782-3901",
"fax_number": "559-782-3911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIRESTONE",
"first_name": "SUSAN",
"middle_name": "P.",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-13",
"last_updated": "2007-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN 364673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "VAN HORN",
"middle_name": "P.",
"prefix": "MRS.",
"credential": "R.N.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Porterville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.