Susan Hancock, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

255102 Issued in TX

Practice address

611 W Hwy 6
Ste 108
Waco, TX 76710-7544

Phone

(254) 741-8686

Fax

(254) 741-8687

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Susan Wooten Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 18, 2024 through Jul 18, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1972617082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W HWY 6",
            "address_2": "STE 108",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107544",
            "telephone_number": "254-741-8686",
            "fax_number": "254-741-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W HWY 6",
            "address_2": "STE 108",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107544",
            "telephone_number": "254-741-8686",
            "fax_number": "254-741-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "SUSAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "255102",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TX",
            "license": "255102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "WOOTEN",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Courtney E Hammermeister, SLP
• Clifford W Hammond III, MD
• Regenia Jackson Hammond, MPH, OTR/L
• Carmen Suzanne Hampton, PTA
• Kirsten Hancock, RDN, LDN
• Andy Allan Hand, M.D.
• Hailee Haney, OTR/L
• Keith M Hankins, DR
• David W Hanlin, LPC
• Pamela Hanna, SLP

• Women's Health Nurse Practitioner in Waco, TX
• Providers in Waco, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.