Susan Duval, ARNP, CRNFA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71004303A Issued in IN

Practice address

695 3Rd Ave
Jasper, IN 47546-3602

Phone

(812) 634-6824

Fax

(812) 848-2277

NPI assigned

May 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Physicians Health Group of Kentucky, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
  • NPI 1104343490
  NPD (past)
• Physicians Health Group of Kentucky, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Lexington, KY
  • NPI 1437555299

  Family

  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1912958885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 3RD AVE",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463602",
            "telephone_number": "812-634-6824",
            "fax_number": "812-848-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 3RD AVE",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463602",
            "telephone_number": "812-634-6824",
            "fax_number": "812-848-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVAL",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "ARNP, CRNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3005974",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004303A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Breanne Duncheon, MD
• Christian Duncheon, MD
• Whitley Ann Maria Dunn, DNP, CRNA
• Sherri Dunning
• Dennis M Dunsmore, M.D.
• Steven William Dysert, O.T.R.
• Daniel C Eby, D.O.
• Claire E Edwards
• Reagan Jayne Egbert
• Amanda Ehrhard

• Family Nurse Practitioner in Jasper, IN
• Providers in Jasper, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.