SUSAN K MATHIS RN APN NPI 1659608222

NPI Information

  • NPI: 1659608222
  • Provider Name: SUSAN K MATHIS, RN, APN
  • Classification: Clinical Nurse Specialist - 364SP0809X
  • Specialization: Psychiatric/Mental Health, Adult
  • Entity Type: Individual
  • Address: 615 YOUNG RD
    MEDON, TN
    ZIP 38356
  • Phone: (731) 437-9424

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NPI Details

Susan K Mathis, RN, APN is a psychiatric/mental health and adult clinical nurse specialist in Medon, TN. Susan K Mathis, RN, APN NPI is 1659608222. 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:

615 YOUNG RD
MEDON, TN
ZIP 38356-850
Phone: (731) 437-9424

The enumeration date for this NPI number is 11/3/2009 and was last updated on 10/24/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN0000147422TENNESSEENo
2364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, AdultAPN0000011878TENNESSEEYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13344MEDICARE UPINSOUTH CAROLINA
2327877MEDICAIDSOUTH CAROLINA

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: 11/21/2025

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