Active NPI
Susan M. Henry-Hoyt, NP
- Nurse Practitioner
- Ceres, CA
National Provider Identifier
1932182334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP12717
- Practice address
- 1920 Memorial Dr
Ceres, CA 95307-1827 - Phone
- (209) 538-1096
- Fax
- (209) 538-1099
- NPI assigned
- Nov 21, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP12717 | CA | Primary |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | AP60423171 | WA |
Addresses
Primary practice location
1920 Memorial Dr
Ceres, CA 95307-1827
Mailing address
737 W Childs Ave
Merced, CA 95341-6805
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP60423171 | Other | WA | WA STATE LICENSE |
| 2047393 | Medicaid | WA | |
| RN 320504 | Other | CA | RN LICENSE |
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 |
|---|---|---|---|
| AP60423171 | WA | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1932182334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 W CHILDS AVE",
"city": "MERCED",
"state": "CA",
"postal_code": "953416805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 MEMORIAL DR",
"city": "CERES",
"state": "CA",
"postal_code": "953071827",
"telephone_number": "209-538-1096",
"fax_number": "209-538-1099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY-HOYT",
"first_name": "SUSAN",
"middle_name": "M.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP12717",
"primary": true
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "WA",
"license": "AP60423171",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE LICENSE",
"identifier": "AP60423171",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2047393",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN 320504",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ceres, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.