Susan E Elliott, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000022502 Issued in TN

Practice address

463 Sam Ridley Pkwy W
Smyrna, TN 37167-5626

Phone

(615) 768-4258

NPI assigned

Jun 2, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496361600000",
    "number": "1912435900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SAINT LUKES LN",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676345",
            "telephone_number": "615-459-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 SAM RIDLEY PKWY W",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675626",
            "telephone_number": "615-768-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2017-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000022502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Edwards
• John Bennett Egger, PHARMD
• Caroline McMurtry Elcan
• Madyson Skye-Mae Ellard
• Caitlin O'Leary Elliott, FNP-C
• Alicia Michelle Ellis, ED.D., LPC-MHSP
• Stephanie Elizabeth Ellis
• Emerald Group LLC
• Emerald Primary Care and Wellness Clinic
• Lily Emerson

• Family Nurse Practitioner in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; 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.