Active NPI
Susan Backer, APRN-CNS
- Adult Health Clinical Nurse Specialist
- Scottsbluff, NE
National Provider Identifier
1770965642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- 114110
- Practice address
- 3911 Avenue B
Scottsbluff, NE 69361-4617 - Phone
- (308) 630-3708
- Fax
- (308) 630-2113
- NPI assigned
- Jun 26, 2015
- Last updated
- Jun 26, 2015
- 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 |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | 114110 | NE | Primary |
Addresses
Primary practice location
3911 Avenue B
Scottsbluff, NE 69361-4617
Mailing address
3911 Avenue B
Scottsbluff, NE 69361-4617
Phone (308) 630-3708
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114110 | NE | MD | Adult Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435276800000",
"number": "1770965642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 AVENUE B",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693614617",
"telephone_number": "308-630-3708",
"fax_number": "308-630-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3911 AVENUE B",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693614617",
"telephone_number": "308-630-3708",
"fax_number": "308-630-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACKER",
"first_name": "SUSAN",
"credential": "APRN-CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-26",
"last_updated": "2015-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "NE",
"license": "114110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsbluff, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.