Active NPI
Susan Lowry Babcock, A.R.N.P.
- Family Nurse Practitioner
- Grandview, WA
National Provider Identifier
1932166113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200250103NP FNP-PP
- Practice address
- 1000 Wallace Way
Grandview, WA 98930-8805 - Phone
- (509) 882-3444
- Fax
- (509) 453-2363
- NPI assigned
- Apr 29, 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 | 200250103NP FNP-PP | OR | Primary |
Addresses
Primary practice location
1000 Wallace Way
Grandview, WA 98930-8805
Mailing address
PO Box 190
Toppenish, WA 98948-0190
Phone (509) 865-6175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200250103NP FNP-PP | Other | OR | NP LICENSE NUMBER |
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 |
|---|---|---|---|
| 200250103NP FNP-PP | OR | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355961600000",
"number": "1932166113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "989480190",
"telephone_number": "509-865-6175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WALLACE WAY",
"city": "GRANDVIEW",
"state": "WA",
"postal_code": "989308805",
"telephone_number": "509-882-3444",
"fax_number": "509-453-2363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABCOCK",
"first_name": "SUSAN",
"middle_name": "LOWRY",
"name_prefix": "Ms.",
"credential": "A.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-29",
"last_updated": "2012-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "200250103NP FNP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE NUMBER",
"identifier": "200250103NP FNP-PP",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grandview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.