Susan Ann Herrington, R.N.

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

RN040549 Issued in GA

Practice address

300 W Hospital Rd
Fort Gordon, GA 30905-5741

Phone

(706) 787-9355

Fax

(706) 787-0254

NPI assigned

Jun 29, 2011

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

• Mrs. Susan Ann Rucker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1942597935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W HOSPITAL RD",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309055741",
            "telephone_number": "706-787-9355",
            "fax_number": "706-787-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HOSPITAL RD",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309055741",
            "telephone_number": "706-787-9355",
            "fax_number": "706-787-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRINGTON",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "GA",
            "license": "RN040549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "RUCKER",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erich Phelps Heitman, DMD
• Tamikio Kwan Henderson, LPN
• Robert William Herold, DDS
• Benjamin Herrera, M.D.
• Christopher A Herring
• Mark Eric Hessenthaler, M.D.
• Brandon Hester, LCSW
• Dan Morgan Hester, CRNA
• Thomas Daniel Hewett, O.T.A.
• Pamela Ann Hiener, PA

• All providers in Fort Gordon, GA
• Ambulatory Care Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.