Active NPI
Susan Jane Akins, MSN RN BC AP MHCNS
- Clinical Nurse Specialist
- Saint Louis, MO
National Provider Identifier
1790767721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 048345
- Practice address
- 3535 S Jefferson Ave
Suite 118
Saint Louis, MO 63118-3930 - Phone
- (314) 776-7999
- Fax
- (314) 772-2257
- NPI assigned
- Nov 16, 2005
- Last updated
- Dec 18, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 048345 | MO | Primary |
| Clinical Nurse Specialist | 364S00000X | 209004686 | IL |
Addresses
Primary practice location
3535 S Jefferson Ave
Suite 118
Saint Louis, MO 63118-3930
Mailing address
2120 Madison Ave
Ste 404
Granite City, IL 62040-4744
Phone (618) 876-7515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048345 | MO | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Behavioral Health LLC | Past | Accepting new patients | |
| Mid-America Psychiatric Consultants, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355788800000",
"number": "1790767721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 MADISON AVE",
"address_2": "STE 404",
"city": "GRANITE CITY",
"state": "IL",
"postal_code": "620404744",
"telephone_number": "618-876-7515",
"fax_number": "618-876-7596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 S JEFFERSON AVE",
"address_2": "SUITE 118",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631183930",
"telephone_number": "314-776-7999",
"fax_number": "314-772-2257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKINS",
"first_name": "SUSAN",
"middle_name": "JANE",
"credential": "MSN RN BC AP MHCNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-16",
"last_updated": "2012-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "MO",
"license": "048345",
"primary": true
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "IL",
"license": "209004686",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.