Active NPI
Susan Miller Prewett
- Adult Health Nurse Practitioner
- Fairhope, AL
National Provider Identifier
1821461500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1-113566
- Practice address
- 915 Plantation Blvd
Unit B
Fairhope, AL 36532-2949 - Phone
- (251) 732-2635
- Fax
- (251) 732-2637
- NPI assigned
- Nov 4, 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 Nurse Practitioner | 363LA2200X | 1-113566 | AL | Primary |
Addresses
Primary practice location
915 Plantation Blvd
Unit B
Fairhope, AL 36532-2949
Mailing address
915 Plantation Blvd
Unit B
Fairhope, AL 36532-2949
Phone (251) 732-2635
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)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-113566 | AL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Medicine Centre LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Fairhope, AL
- NPI 1114192812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1821461500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 PLANTATION BLVD",
"address_2": "UNIT B",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322949",
"telephone_number": "251-732-2635",
"fax_number": "251-732-2637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 PLANTATION BLVD",
"address_2": "UNIT B",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322949",
"telephone_number": "251-732-2635",
"fax_number": "251-732-2637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREWETT",
"first_name": "SUSAN",
"middle_name": "MILLER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-04",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AL",
"license": "1-113566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairhope, AL
- Premier Foot Care, Inc
- Premier Health Management, Inc. (Premier Medical Management Inc)
- Premier Internal Medicine, P.C.
- Carolyn Dale Presley, LCSW
- Prestige Telemedicine Group LLC
- Prohealth-Gulf Coast, LLC (ProHealth)
- Prohealth-Gulf Coast, LLC (ProHealth)
- Publix Alabama LLC (Publix Pharmacy #1265)
- Publix Alabama, LLC (Publix Pharmacy #1799)
- Publix Alabama, LLC (Publix Pharmacy 1809)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.