Active NPI
Susan Lopez Conley, MSN, WHNP-BC, RN
- Women's Health Nurse Practitioner
- Inglewood, CA
National Provider Identifier
1851431969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- NP 16361
- Practice address
- 1091 S la Brea Ave
Inglewood, CA 90301-3817 - Phone
- (310) 330-2960
- Fax
- (310) 330-2961
- NPI assigned
- Feb 7, 2007
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | NP 16361 | CA | Primary |
Addresses
Primary practice location
1091 S la Brea Ave
Inglewood, CA 90301-3817
Mailing address
23430 Hawthorne Blvd
BLDG 3, Suite 210
Torrance, CA 90505-4720
Phone (310) 802-6177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP 16361 | CA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1851431969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23430 HAWTHORNE BLVD",
"address_2": "BLDG 3, SUITE 210",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905054720",
"telephone_number": "310-802-6177",
"fax_number": "310-802-6178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1091 S LA BREA AVE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903013817",
"telephone_number": "310-330-2960",
"fax_number": "310-330-2961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "SUSAN",
"middle_name": "LOPEZ",
"credential": "MSN, WHNP-BC, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "NP 16361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.