Individual provider Active NPI

Susan D. Swanson-Moore, APRN

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Nashville, TN
National Provider Identifier
1831306562
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
11211 Issued in TN
Practice address
300 20TH Ave N
9TH Floor
Nashville, TN 37203-2131
Phone
(615) 284-1450
Fax
(615) 284-1693
NPI assigned
May 16, 2007
Last updated
Oct 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 11211 TN Primary

Addresses

Primary practice location

300 20TH Ave N
9TH Floor
Nashville, TN 37203-2131

Mailing address

300 20TH Ave N
9TH Floor
Nashville, TN 37203-2131
Phone (615) 284-1450

Other identifiers 2

IdentifierTypeStateIssuer
1507493MedicaidTN
P00882584OtherTNRR MEDICARE

Other names 1

  • Susan S Frazier Former name

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 Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1831306562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N",
            "address_2": "9TH FLOOR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032131",
            "telephone_number": "615-284-1450",
            "fax_number": "615-284-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N",
            "address_2": "9TH FLOOR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032131",
            "telephone_number": "615-284-1450",
            "fax_number": "615-284-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON-MOORE",
        "first_name": "SUSAN",
        "middle_name": "D.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "TN",
            "license": "11211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1507493",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00882584",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "FRAZIER",
            "middle_name": "S",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.