Active NPI
Susan Donna Ruppert, PHD, RN, NP-C
- Family Nurse Practitioner
- Houston, TX
National Provider Identifier
1851399653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 440932
- Practice address
- 6410 Fannin St Ste 100
Houston, TX 77030-3014 - Phone
- (713) 500-3267
- NPI assigned
- Jul 14, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 440932 | TX | Primary |
Addresses
Primary practice location
6410 Fannin St Ste 100
Houston, TX 77030-3014
Mailing address
6901 Bertner Ave # 691
Houston, TX 77030-3901
Phone (713) 500-2164
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
- Nurse Practitioner, Doctor of Philosophy, Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1851399653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6901 BERTNER AVE # 691",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303901",
"telephone_number": "713-500-2164",
"fax_number": "713-500-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 FANNIN ST STE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303014",
"telephone_number": "713-500-3267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUPPERT",
"first_name": "SUSAN",
"middle_name": "DONNA",
"name_prefix": "Dr.",
"credential": "PHD, RN, NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-14",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "440932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.