Susan L. Cross, ARNP, BC-ADM

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

059121 Issued in IA

Practice address

2480 Berkshire Pkwy
Clive, IA 50325-4683

Phone

(515) 987-5188

Fax

(515) 987-8152

NPI assigned

Oct 6, 2005

Last updated

Apr 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Susan L. Davis Thompson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1992793723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125305",
            "telephone_number": "515-237-3974",
            "fax_number": "515-883-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 BERKSHIRE PKWY",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254683",
            "telephone_number": "515-987-5188",
            "fax_number": "515-987-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "SUSAN",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "ARNP, BC-ADM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "059121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1649560236",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "DAVIS THOMPSON",
            "middle_name": "L.",
            "prefix": "MS.",
            "credential": "ARNP, BC-ADM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marcy Michelle Covert, FNP-C
• Taylor Rae Crane, OTD, OTR/L
• Melissa June Cribari, LMHC, CADC
• Alexandria Frances Critelli
• Brian M Crites, M.D.
• Michael Akira Cuesta, RPH
• Terri Sue Cullison, PT
• Joshua Ryan Cunningham, PT
• Ruby Cureg, MD
• Megan Dalhoff, DO

• Nurse Practitioner in Clive, IA
• Providers in Clive, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.