Suszanne Rae Keasling, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

078387 Issued in IA

Practice address

110 E Main St
Ottumwa, IA 52501-2910

Phone

(641) 682-8772

Fax

(641) 682-1924

NPI assigned

Nov 29, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Iowa Mental Health Center

  • Community/Behavioral Health Agency
  • Ottumwa, IA
  • NPI 1457178428
  NPD (past)
• Southern Iowa Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ottumwa, IA
  • NPI 1659353670
  NPD (past)

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1821333022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012910",
            "telephone_number": "641-682-8772",
            "fax_number": "641-682-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012910",
            "telephone_number": "641-682-8772",
            "fax_number": "641-682-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEASLING",
        "first_name": "SUSZANNE",
        "middle_name": "RAE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IA",
            "license": "078387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonelle Joseph, DDS
• M Said Jumaa, M.D.
• Stewart John Kanis, DO
• Sheila Kae Kauzlarich, ARNP
• Darcy Elaine Keasling, LPN
• Kathryn Elizabeth Keith, LMSW
• Chad M Kelley, DPT
• Kimberley S Kelly, LMHC, LMSW, IADC
• Jacy L Kennedy, ARNP
• Scott Byron King, DPM

• Psychiatric/Mental Health Registered Nurse in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Psychiatric/Mental Health Registered Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.