Active NPI
Susan S Lueck, R.N.
- Registered Nurse
- Roebuck, SC
National Provider Identifier
1972940849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 65298
- Practice address
- 198 Otts Shoals Rd
Roebuck, SC 29376-3343 - Phone
- (864) 576-3500
- Fax
- (864) 595-2428
- NPI assigned
- May 31, 2013
- Last updated
- May 31, 2013
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 65298 | SC | Primary |
Addresses
Primary practice location
198 Otts Shoals Rd
Roebuck, SC 29376-3343
Mailing address
198 Otts Shoals Rd
Roebuck, SC 29376-3343
Phone (864) 576-3500
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65298 | SC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1972940849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 OTTS SHOALS RD",
"city": "ROEBUCK",
"state": "SC",
"postal_code": "293763343",
"telephone_number": "864-576-3500",
"fax_number": "864-595-2428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 OTTS SHOALS RD",
"city": "ROEBUCK",
"state": "SC",
"postal_code": "293763343",
"telephone_number": "864-576-3500",
"fax_number": "864-595-2428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUECK",
"first_name": "SUSAN",
"middle_name": "S",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-31",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "65298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roebuck, SC
- Corrie Leigh Kennette, M.S., CCC-SLP
- Divya Somaya Kulkarni, M.D.
- Brandy Dover Laney, COTA/L
- Jennifer Wren Lever, DMD
- Joseph Kayne Lever, DMD
- Kim Annette Lukridge, RN
- Alison Markey
- Mary Black Physicians Group LLC (Mary Black Family Medicine Dorman)
- Mary Black Physicians Group LLC (Mary Black Family Medicine Dorman)
- Mary Black Physicians Group, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.