Active NPI
Susan M. Peeples, FNP, CNM
- Family Nurse Practitioner
- Union, OR
National Provider Identifier
1760559884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 093006642N1
- Practice address
- 142 East Dearborn
Union, OR 97883-0605 - Phone
- (541) 562-6062
- Fax
- (541) 562-5757
- NPI assigned
- Nov 30, 2006
- Last updated
- Jun 23, 2009
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 093006642N1 | OR | Primary |
Addresses
Primary practice location
142 East Dearborn
Union, OR 97883-0605
Mailing address
PO Box 605
Union, OR 97883-0605
Phone (541) 562-6062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035423 | Medicaid | OR |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 093006642N1 | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South County Health District | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Union Family Health Center
- Rural Health Clinic/Center
- Union, OR
- NPI 1790914117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245715200000",
"number": "1760559884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 605",
"city": "UNION",
"state": "OR",
"postal_code": "978830605",
"telephone_number": "541-562-6062",
"fax_number": "541-562-5757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 EAST DEARBORN",
"city": "UNION",
"state": "OR",
"postal_code": "978830605",
"telephone_number": "541-562-6062",
"fax_number": "541-562-5757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEEPLES",
"first_name": "SUSAN",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "FNP, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2009-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "093006642N1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035423",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Union, OR
- Grande Ronde Hospital, Inc (Grande Ronde Hospital Union Clinic)
- Grande Ronde Hospital, Inc (Grande Ronde Hospital Union Clinic)
- Anna Brammer Lanman, NP-C
- Carol Ann Ledbetter, APRN, BC
- Lion Heart Haven LLC
- Muriel P Shaul, ANP
- Gwendolyn Short, ARNP
- South County Health District (Union Family Health Center)
- Susan Elena Spears, RN
- Courtney Steen, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.