Susan Kathleen Redovian, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

22282 Issued in SC

Practice address

2210 Laurens Rd
Greenville, SC 29607-3224

Phone

(330) 284-2010

NPI assigned

Jul 17, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1740489848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 MONTALCINO WAY",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296816631",
            "telephone_number": "330-284-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 LAURENS RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073224",
            "telephone_number": "330-284-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDOVIAN",
        "first_name": "SUSAN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2813763",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reilly Kelley Redden, DMD
• Courtney Danielle Reddig
• Varsha Reddy
• Latonia Nicole Redfield - Smith, MA
• Randy Redlinger
• Elizabeth W Reece
• Ronald C Reece, PH.D.
• Ashley Lauren Reecht, DNP, CRNA, APRN
• Chelsea Reed, DOTR/L
• Davis P Reed, MD

• Family Nurse Practitioner in Greenville, SC
• Providers in Greenville, SC by specialty
• Family Nurse Practitioner in South Carolina

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