Provider Type Icon

MS. ELIZABETH ANNE SUSSMAN FNP NPI 1992332779


NPI Information

NPI: 1992332779
Provider Name: MS. ELIZABETH ANNE SUSSMAN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
10 BARNES WEST DR
DIV IM MEDICAL ONCOLOGY, MOB #2
SAINT LOUIS, MO
ZIP 63141
Phone: (800) 647-2098
Get Directions

MS. Elizabeth Anne Sussman, FNP is a family nurse practitioner in Saint Louis, MO with 5 years of experience. MS. Elizabeth Anne Sussman, FNP NPI is 1992332779. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10 BARNES WEST DR
DIV IM MEDICAL ONCOLOGY, MOB #2
SAINT LOUIS, MO
ZIP 63141-287
Phone: (800) 647-2098
Fax: (314) 362-3192

The NPI 1992332779 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/24/2020 and was last updated on 4/25/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily2020009930MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1420082429MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.