Susan Ann Dragoo, APRN WHNP/FNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

9519 Issued in CA

Practice address

1100 W. Stewart Dr.
Orange, CA 92868-5600

Phone

(714) 771-8000

Fax

(714) 744-8571

NPI assigned

Nov 25, 2014

Last updated

Nov 25, 2014By 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 3

Addresses

Other names 1

• Miss Susan Ann Barrett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1730586322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W. STEWART DR.",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928685600",
            "telephone_number": "714-771-8000",
            "fax_number": "714-744-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W. STEWART DR.",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928685600",
            "telephone_number": "714-771-8000",
            "fax_number": "714-744-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGOO",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN WHNP/FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN305899",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "9519",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "9519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BARRETT",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Jennifer Marie Draganchuk, MD
• David Draghici, DPT
• Michael V Drake, MD
• Dennise Drapete
• Michael Draves
• Daina Dreimane, MD
• Jean Cecilia Drexler, D.D.S RPH

• Women's Health Nurse Practitioner in Orange, CA
• Providers in Orange, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.