Mary Susan Hewankorn, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60107276 Issued in WA

Practice address

1302 W Gardner Ave
Spokane, WA 99201-2059

Phone

(509) 503-6010

NPI assigned

Sep 16, 2022

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 names 1

• Mary Sue Hewankorn Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1760104541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14909 S CARSTENS RD",
            "city": "EDWALL",
            "state": "WA",
            "postal_code": "990089611",
            "telephone_number": "509-290-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 W GARDNER AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012059",
            "telephone_number": "509-503-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWANKORN",
        "first_name": "MARY",
        "middle_name": "SUSAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60107276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY SUE",
            "last_name": "HEWANKORN",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebekah Hetherington
• Gabriel Paul Hetrick, RDH
• John Heusner, MD
• Judith A Heusner, MD
• Victoria Heutmaker, CB61101411
• Bernard D Hewey
• Tina Marie Heyer, LMP
• Aleksander Heyfetz, PHARMD
• Jackie Elizabeth Heyn
• Katherine M Heyward, SUDP

• Registered Nurse in Spokane, WA
• Providers in Spokane, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.