Individual provider Active NPI

Susan Whittle Seiden, PNP,C, RN

  • Registered Nurse
  • Fresno, CA
National Provider Identifier
1821853995
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
459769 Issued in CA
Practice address
2481 W Wrenwood Ave
Fresno, CA 93711-2554
Phone
(559) 977-9515
NPI assigned
Feb 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 459769 CA Primary

Addresses

Primary practice location

2481 W Wrenwood Ave
Fresno, CA 93711-2554

Mailing address

2037 W Bullard Ave # 521
Fresno, CA 93711-1233
Phone (559) 977-9515

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
459769CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1821853995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 W BULLARD AVE # 521",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937111233",
            "telephone_number": "559-977-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2481 W WRENWOOD AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937112554",
            "telephone_number": "559-977-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDEN",
        "first_name": "SUSAN",
        "middle_name": "WHITTLE",
        "credential": "PNP,C,   RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "459769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.