Individual provider Active NPI

Susan Ulricke Schleith, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Linville, NC
National Provider Identifier
1760017826
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5012960 Issued in NC
Practice address
434 Hospital Dr
Suite 235
Linville, NC 28646
Phone
(828) 737-7889
NPI assigned
Mar 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5012960 NC Primary

Addresses

Primary practice location

434 Hospital Dr
Suite 235
Linville, NC 28646

Mailing address

434 Hospital Dr
Linville, NC 28646
Phone (828) 737-7889

Other practice location 1

212 Towne Village Dr
Cary, NC 27513-8910
Phone (919) 377-1042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200422001121 NC Practitioner - Nurse Practitioner 7113357773 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Certus Psychiatry and Integrated Care PLLC CurrentSince Apr 15, 2021 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc CurrentSince Mar 23, 2020 Accepting new patients
West Cary Psychiatry, PLLC CurrentSince May 1, 2024 Accepting new patients
Charles a Cannon Jr Memorial Hospital Inc CurrentSince Mar 23, 2020 Accepting new patients
Cary Physical Therapy and Rehabilitation Inc. PastSince May 1, 2024 Accepting new patients

Locations

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111

212 Towne Village Dr
Cary, NC 27513
Phone (919) 377-1042

1255 Creekshire Way
Ste 270
Winston Salem, NC 27103
Phone (336) 701-3111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAGHCA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1760017826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 HOSPITAL DR",
            "city": "LINVILLE",
            "state": "NC",
            "postal_code": "28646",
            "telephone_number": "828-737-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 HOSPITAL DR",
            "address_2": "SUITE 235",
            "city": "LINVILLE",
            "state": "NC",
            "postal_code": "28646",
            "telephone_number": "828-737-7889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Towne Village Dr",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275138910",
            "country_code": "US",
            "telephone_number": "919-377-1042",
            "fax_number": "919-234-0278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLEITH",
        "first_name": "SUSAN",
        "middle_name": "ULRICKE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5012960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linville, NC

Sources for this page

Verify at the official NPI Registry.