Suzanne M Nass, M.S., P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1116 Issued in NE

Practice address

407 S 19TH St
Blair, NE 68008-1907

Phone

(402) 426-2210

Fax

(402) 426-2235

NPI assigned

Dec 13, 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 names 1

• Miss Suzanne M Larsen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942361845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 N 105TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341013",
            "telephone_number": "402-981-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S 19TH ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081907",
            "telephone_number": "402-426-2210",
            "fax_number": "402-426-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASS",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.S., P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "LARSEN",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "M.S., P.A.-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physician Assistant in Blair, NE
• Providers in Blair, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.