Susan Kersey, CNS

Primary specialty

Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X

License

70000049A Issued in IN

Practice address

415 N 26TH St
Suite 201
Lafayette, IN 47904-2856

Phone

(765) 446-6535

NPI assigned

Jul 12, 2005

Last updated

Oct 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Methodist Medical Group Physicians Inc

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1285673616
  NPD (past)
• Trustees of Purdue University

  dba Family Health Clinic of Carroll County

  • Federally Qualified Health Center (FQHC)
  • Delphi, IN
  • NPI 1477549731
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1871591156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N 26TH ST",
            "address_2": "SUITE 201",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N 26TH ST",
            "address_2": "SUITE 201",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042856",
            "telephone_number": "765-446-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSEY",
        "first_name": "SUSAN",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "IN",
            "license": "70000049A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200499630",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Kern, OTD
• Lindsey Kernstein, RBT
• Seth Kerr, RBT
• Sky Kerr
• Margo S. Kerrigan, CST
• Gentry Jarrett Kerwood, OD
• Douglas D Kesler, PA
• Samantha Leanne Kesler, RBT
• Brianna Rae Kesterson, BSN, RN, NP
• Key Hearing AIDS of Lafayette LLC

• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.