R Susan Stewart, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

53226 Issued in CO

Practice address

2002 Lelaray St
Suite 100
Colorado Springs, CO 80909-2804

Phone

(719) 632-7641

NPI assigned

Sep 14, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Matthews-Vu Medical Group, P.C.

  • Internal Medicine Physician
  • Colorado Springs, CO
  • NPI 1649438433
  Medicare reassignment NPD
• Matthews-Vu Medical Group, P.C.

  • Multi-Specialty Clinic/Center
  • Colorado Springs, CO
  • NPI 1528735107
  NPD
• Advanced Gynecology Prof, LLC

  • Gynecology Physician
  • Colorado Springs, CO
  • NPI 1871576512
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1922103530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 LELARAY ST",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092804",
            "telephone_number": "719-632-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 LELARAY ST",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092804",
            "telephone_number": "719-632-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "R",
        "middle_name": "SUSAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "53226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04838254",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Marie Stewart, PHARMD
• Michael Stewart
• Micheyla Lynnae Stewart
• Mozelle Stewart
• Nylisah Stewart
• Rowland Todd Stewart, MD
• Shirley Stewart, CPNP
• Stephanie Marie Stewart, CNIM
• Sunset Marie Stewart, PHARMD
• Tana Stewart

• Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.