Individual provider Active NPI

Susan Orsbon, FNP-C

  • Registered Nurse
  • Dickson, TN
National Provider Identifier
1760894901
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
145253 Issued in TN
Practice address
3499 Highway 70 W
Dickson, TN 37055-4234
Phone
(615) 326-8121
NPI assigned
May 22, 2014
Last updated
Dec 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 145253 TN Primary
Family Nurse Practitioner 363LF0000X 19587 TN

Addresses

Primary practice location

3499 Highway 70 W
Dickson, TN 37055-4234

Mailing address

10256 McGee Rd
Lyles, TN 37098-1738
Phone (615) 512-4099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20151229002075 TN Practitioner - Nurse Practitioner 9537460019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3499 Hwy 70 W
Dickson, TN 37055-4234
Phone (615) 326-8121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
145253TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pinewood Medical LLC Family CurrentSince Nov 16, 2015 Accepting new patients

Locations

3499 Highway 70 W
Dickson, TN 37055
Phone (615) 326-8121

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1760894901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10256 MCGEE RD",
            "city": "LYLES",
            "state": "TN",
            "postal_code": "370981738",
            "telephone_number": "615-512-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 HIGHWAY 70 W",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370554234",
            "telephone_number": "615-326-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORSBON",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "145253",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.