MS. TANDY SUZANNE NOELLER ARNP, CNS, FNP
NPI 1053440057
Registered Nurse - Wound Care in Severy, KS

Active since March 05, 2007
2045 12TH STREET, SEVERY, KS 67137(620) 736-2639(620) 736-2639 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Tandy Suzanne Noeller Arnp, Cns, Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TANDY SUZANNE NOELLER ARNP, CNS, FNP (NPI 1053440057) is an individual wound care provider in Severy, Kansas, licensed in Kansas (13-33753-081) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1053440057
Entity TypeIndividualFemale
Primary Taxonomy163WW0000X
Provider Legal NameMS. TANDY SUZANNE NOELLERCredential: ARNP, CNS, FNP
Location Address2045 12TH STREETSevery, KS 67137-0093
Mailing Address2045 12th StreetSevery, KS 67137-0093 · (620) 736-2639 · Fax (620) 736-2639
Fax(620) 736-2639
Sole ProprietorYes
Enumeration DateMarch 5, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1053440057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

Primary SpecialtyRegistered Nurse · Wound CareNursing Service Providers
Taxonomy Code163WW0000X
License Licensed in KS · 13-33753-081
Also ListedRegistered NurseTaxonomy 163W00000X · License 13-33753-081 (KS)
Also ListedRegistered Nurse · Continuing Education/Staff DevelopmentTaxonomy 163WC1600X · License 13-33753-081 (KS)
Also ListedRegistered Nurse · Cardiac RehabilitationTaxonomy 163WC3500X · License 13-33753-081 (KS)
Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X · License 13-33753-081 (KS)
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 13-33753-081 (KS)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 44916 (KS)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 44916 (KS)
Also ListedNurse Practitioner · Occupational HealthTaxonomy 363LX0106X · License 44916 (KS)
Also ListedClinical Nurse SpecialistTaxonomy 364S00000X · License 74710 (KS)
Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X · License 74710 (KS)
Also ListedClinical Nurse Specialist · HolisticTaxonomy 364SH1100X · License 74710 (KS)
Also ListedClinical Nurse Specialist · Medical-SurgicalTaxonomy 364SM0705X · License 74710 (KS)
Also ListedClinical Nurse Specialist · Occupational HealthTaxonomy 364SX0106X · License 74710 (KS)
2045 12TH STREET, Severy, KS 67137

Other Identifiers 2

Other1548313471KS · Npi For Business
Other0000161786KS · Bcbsks

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Diabetes Educator)
2045 12TH STREET
SEVERY, KS 67137

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053440057, enumerated as an "individual" on March 05, 2007.

The provider is located at 2045 12TH STREET SEVERY, KS 67137 and the phone number is (620) 736-2639.

Registered Nurse with taxonomy code 163WW0000X and a focus in Wound Care.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.