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MS. SUSANA MCKEOUGH RN, FNP
NPI 1134527963
Nurse Practitioner in San Rafael, CA

Active since December 10, 2014
179 ACACIA AVENUE ROOM 100, DOMINICAN UNIVERSITY STUDENT HEALTH CENTER, SAN RAFAEL, CA 94901(415) 485-3208(415) 458-3755 Get Directions Write a Review

NPPES record last updated: December 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Susana Mckeough Rn, Fnp NPPES

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

MS. SUSANA MCKEOUGH RN, FNP (NPI 1134527963) is an individual nurse practitioner in San Rafael, California, licensed in California (7901) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1134527963
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. SUSANA MCKEOUGHCredential: RN, FNP
Location Address179 ACACIA AVENUE ROOM 100, DOMINICAN UNIVERSITY STUDENT HEALTH CENTERSan Rafael, CA 94901
Mailing Address50 Acacia Ave., Student Health Center - Dominican UniversitySan Rafael, CA 94901 · (415) 485-3208 · Fax (415) 458-3755
Phone(415) 485-3208
Fax(415) 458-3755
Sole ProprietorNo
Enumeration DateDecember 10, 2014
✔ NPI 1134527963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 7901
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
179 ACACIA AVENUE ROOM 100, San Rafael, CA 94901
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susana Mckeough's NPI number?

The NPI number for Susana Mckeough is 1134527963. It was assigned to this individual provider in the NPPES registry on December 10, 2014.

Where is Susana Mckeough located?

Susana Mckeough practices at 179 Acacia Avenue Room 100 Dominican University Student Health Center, San Rafael, CA 94901. The listed phone number is (415) 485-3208.

What is Susana Mckeough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Susana Mckeough was last updated on December 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.