Susan Annette Stapp, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-102990 Issued in AL

Practice address

111 Brooklyn Rd
Holly Pond, AL 35083-6478

Phone

(256) 451-1250

NPI assigned

Feb 22, 2013

Last updated

May 5, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17774/brand/1/csg/1/fhir/r4

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.

• Stopwatch Urgent Care Centers LLC

  dba Moore's Mill Urgent Care

  • Urgent Care Clinic/Center
  • Auburn, AL
  • NPI 1841506458
  Medicare reassignment NPD
• Growing Up Pediatrics, P.C.

  • Pediatrics Physician
  • Birmingham, AL
  • NPI 1356456214
  NPD (past)
• Midway Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Oneonta, AL
  • NPI 1386984649
  NPD (past)
• Southview Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Hanceville, AL
  • NPI 1033554357
  NPD (past)

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1780924167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BROOKLYN RD",
            "city": "HOLLY POND",
            "state": "AL",
            "postal_code": "350836478",
            "telephone_number": "256-451-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BROOKLYN RD",
            "city": "HOLLY POND",
            "state": "AL",
            "postal_code": "350836478",
            "telephone_number": "256-451-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPP",
        "first_name": "SUSAN",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-22",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-102990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Anderson Jetton, M.D.
• David Charles Kinsey, DMD
• Charles Allen Murphy, PHARMD
• Murphy's Pharmacy Inc.
• Peace Be Still Therapeutic Services
• Valumed Pharmacy LLC (Murphy's Pharmacy)

• Family Nurse Practitioner in Holly Pond, AL
• Providers in Holly Pond, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.