Individual provider Active NPI

Susan Pauline McQuade, FNP

  • Family Nurse Practitioner
  • Lakeway, TX
National Provider Identifier
1982892790
Registry record updated Jan 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
523832 Issued in TX
Practice address
1927 Lohmans Crossing Rd
Suite 200
Lakeway, TX 78734-5239
Phone
(512) 263-9188
Fax
(512) 263-3645
NPI assigned
Oct 5, 2007
Last updated
Jan 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 523832 TX Primary

Addresses

Primary practice location

1927 Lohmans Crossing Rd
Suite 200
Lakeway, TX 78734-5239

Mailing address

1927 Lohmans Crossing Rd
Suite 200
Lakeway, TX 78734-5239
Phone (512) 263-9188

Other identifiers 1

IdentifierTypeStateIssuer
0021NPOtherTXBCBS

Other names 1

  • Susan Pauline McQuade Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160705000902 NM Practitioner - Nurse Practitioner 9537109384 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
523832TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Taos Medical Group P a CurrentSince Mar 3, 2021 Accepting new patients
Lisa M. Jukes, MD, PA Past Accepting new patients

Locations

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

1399 Weimer Rd
Ste 200
Taos, NM 87571
Phone (505) 758-2224

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2636/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263772800000",
    "number": "1982892790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 LOHMANS CROSSING RD",
            "address_2": "SUITE 200",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345239",
            "telephone_number": "512-263-9188",
            "fax_number": "512-263-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 LOHMANS CROSSING RD",
            "address_2": "SUITE 200",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345239",
            "telephone_number": "512-263-9188",
            "fax_number": "512-263-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUADE",
        "first_name": "SUSAN",
        "middle_name": "PAULINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2010-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "523832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0021NP",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MCQUADE",
            "middle_name": "PAULINE",
            "credential": "APRNBC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lakeway, TX

Sources for this page

Verify at the official NPI Registry.