Susan Ann Carmack, CPNP
Individual provider Active NPI Pediatric Nurse Practitioner · Washington, DC
NPI 1881687697 · NPPES record last updated Jun 29, 2009
Key facts
- NPI
- 1881687697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 28067924A (IN)
- Practice address
- Peace Corps Office of Medical Services
1111 20TH Street NW
Washington, DC 20526-0001 - Phone
- (202) 692-1555
- Fax
- (202) 692-1501
- NPI assigned
- Aug 26, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28067924A | IN | MD | Pediatric Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 28067924A | IN | Yes |
Addresses
Primary practice location
Peace Corps Office of Medical Services
1111 20TH Street NW
Washington, DC 20526-0001
Mailing address
12806 Brightwell Dr
Clarksburg, MD 20871-4309
Phone (301) 540-2541
Other providers in Washington, DC
- Dianne Behme Carlson
- Joann Carlson
- Letitia G. Carlson
- Sophia Carlton
- Kathleen Grace Carlyle
- Jessica Carman
- Brian Carmichael
- Darlene Carmichael
- Felicia Monik Carmichael
- Harriet Carmichael
All providers in Washington, DC · Pediatric Nurse Practitioner in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.