Active NPI
Susan Lynn Heape, CNA
- Nurse's Aide
- Rockford, IL
National Provider Identifier
1962255141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 3303 E State St
Rockford, IL 61108-1800 - Phone
- (815) 988-3973
- NPI assigned
- Apr 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | IL | Primary |
Addresses
Primary practice location
3303 E State St
Rockford, IL 61108-1800
Mailing address
2109 Oakbrook Dr
Belvidere, IL 61008-7081
Phone (815) 988-3973
Other names 1
- Susan L Adrian
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1962255141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 OAKBROOK DR",
"city": "BELVIDERE",
"state": "IL",
"postal_code": "610087081",
"telephone_number": "815-988-3973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 E STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611081800",
"telephone_number": "815-988-3973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAPE",
"first_name": "SUSAN",
"middle_name": "LYNN",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-08",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "ADRIAN",
"middle_name": "L",
"credential": "N/A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rockford, IL
- Stacy L Hazelton, NP
- Melanie Hazelwood, RN
- HCA Acquisition Holdings Inc (St Croix Hospice)
- Gillian M. Headley, MD
- Healing Path of Rockford, PLLC
- Hearing Helpers Inc
- Hearing Pros Inc (Amplified Hearing Aid Centers)
- Heartland Hospice Services LLC (ProMedica Hospice (Rockford))
- Heartland Hospice Services LLC (ProMedica Hospice (Rockford))
- Heartland Medical Supplies
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.