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SUSAN THOMA RAUCKMAN MSN ANP-BC NPI 1669642260


NPI Information

NPI: 1669642260
Provider Name: SUSAN THOMA RAUCKMAN, MSN ANP-BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: TOUCHETTE REGIONAL HOSPITAL INC

PECOS Registration: Yes

Address:
211 S 3RD ST
BELLEVILLE, IL
ZIP 62220
Phone: (618) 234-2120
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Susan Thoma Rauckman, MSN ANP-BC is an adult health nurse practitioner in Belleville, IL with 16 years of experience. Susan Thoma Rauckman, MSN ANP-BC NPI is 1669642260. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

211 S 3RD ST
BELLEVILLE, IL
ZIP 62220-915
Phone: (618) 234-2120
Fax: (618) 222-4761

The NPI 1669642260 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 3/11/2008 and was last updated on 3/14/2018.


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
1363LA2200XNurse PractitionerAdult Health209007010ILLINOISYes

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: 11/14/2023

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.