Active NPI
Suzanne Edwina Cieslak, N.P.
- Family Nurse Practitioner
- Alexandria, LA
National Provider Identifier
1902994973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN057280 AP01885
- Practice address
- 2108 Texas Ave Ste 2061
Alexandria, LA 71301-3944 - Phone
- (318) 448-1041
- NPI assigned
- Oct 11, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN057280 AP01885 | LA | Primary |
Addresses
Primary practice location
2108 Texas Ave Ste 2061
Alexandria, LA 71301-3944
Mailing address
131 Columns Dr
Alexandria, LA 71303-8503
Phone (318) 449-9080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1670375 | Medicaid | LA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN057280 AP01885 | LA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1902994973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 COLUMNS DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713038503",
"telephone_number": "318-449-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 TEXAS AVE STE 2061",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013944",
"telephone_number": "318-448-1041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIESLAK",
"first_name": "SUZANNE",
"middle_name": "EDWINA",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "RN057280 AP01885",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1670375",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.