Susan Jean Harkins, GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

340357 Issued in NY

Practice address

99 Sixth Avenue
Ilion, NY 13357

Phone

(315) 895-4050

Fax

(315) 895-7197

NPI assigned

Aug 19, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Susan Jean Thompson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cap Medical, LLC

  • Family Medicine Physician
  • New Hartford, NY
  • NPI 1730346115
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1962517342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 SIXTH AVENUE",
            "city": "ILION",
            "state": "NY",
            "postal_code": "13357",
            "telephone_number": "315-895-4050",
            "fax_number": "315-895-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 SIXTH AVENUE",
            "city": "ILION",
            "state": "NY",
            "postal_code": "13357",
            "telephone_number": "315-895-4050",
            "fax_number": "315-895-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKINS",
        "first_name": "SUSAN",
        "middle_name": "JEAN",
        "credential": "GNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "340357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "THOMPSON",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grand Mohawk Valley LLC
• Megan Graziano, LMSW
• Daniel Guile
• Stacy Marie Hagin
• Leah A Haponski, LPN
• Rebecca Hayes, LPN
• Lynn R Henry, O.D.
• Herkimer Boces
• Ashley Hoffman, M.S., CCC-SLP
• Kelley Marie Holmes-Morton, L.M.T.

• Gerontology Nurse Practitioner in Ilion, NY
• Providers in Ilion, NY by specialty
• Gerontology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.