Susan Marie Beidler, PHD MBE CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A138274 Issued in IA

Practice address

3303 Rebecca St
Sioux City, IA 51104-2324

Phone

(712) 279-1793

Fax

(712) 279-5299

NPI assigned

Jul 8, 2005

Last updated

Aug 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1881692473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 REBECCA ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042324",
            "telephone_number": "712-279-1793",
            "fax_number": "712-279-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 REBECCA ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042324",
            "telephone_number": "712-279-1793",
            "fax_number": "712-279-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEIDLER",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "PHD MBE CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9197564",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "110924",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9197564",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "TP000625B",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A138274",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9197564",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015048890003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Become, Behavioral & Educational Services & Training, LLC
• Become, Behavioral & Educational Services & Training, LLC
• Scott R. Beecher, O.D.
• James C Beeler, M.D.
• Jonathan C Beeler, M.D.
• Kris Bengford, CADC
• Ashley Rae Bennett, PA-C
• Martha Bennett, AU.D.
• Pama L Bennett, SLP
• Bradley Benson, DVM

• Family Nurse Practitioner in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.