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SUSAN RAE AULT FNP
NPI 1790777100
Nurse Practitioner - Family in Anderson, CA

Active since August 22, 2005
2830 EAST ST, ANDERSON, CA 96007(530) 365-2545(530) 365-3871 Get Directions Write a Review

NPPES record last updated: May 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Rae Ault Fnp NPPES

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

SUSAN RAE AULT FNP (NPI 1790777100) is an individual family provider in Anderson, California, licensed in California (14768) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1790777100
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN RAE AULTCredential: FNP
Location Address2830 EAST STAnderson, CA 96007-3408
Mailing Address2830 East StAnderson, CA 96007-3408 · (530) 365-2545 · Fax (530) 365-3871
Phone(530) 365-2545
Fax(530) 365-3871
Sole ProprietorYes
Enumeration DateAugust 22, 2005
Last NPPES UpdateMay 31, 2016
✔ NPI 1790777100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 14768
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 083045668RN (OR)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 200450018NP (OR)
Also ListedClinical Nurse Specialist · OncologyTaxonomy 364SX0200X · License 200570025CNS (OR)
2830 EAST ST, Anderson, CA 96007
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Other Identifiers 7

Medicaid278215OR
Medicare NSC0577260001OR
Other1407812365OR · Group Npi Number
Other930635514OR · Group Tax Id Number
OtherR0000WFBTVOR · Medicare Group Pin Number
Medicare PINR134534OR
Medicare UPINQ26459

Other Providers at the Same Location NPPES 6

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

CHRISTIAN CASEY YOUNG FNP
Nurse Practitioner (Family)
2830 EAST ST
ANDERSON, CA 96007
Shasta County (530) 365-2545
ANDERSON MEDICAL ASSOCIATES
Family Medicine
2830 EAST ST
ANDERSON, CA 96007
Shasta County (530) 365-2545
RAJ KUMARI
Internal Medicine
2830 EAST ST
ANDERSON, CA 96007
Shasta County (530) 365-4265
WILLIAM DAVID BLACKMON RN, FNP-C
Nurse Practitioner (Family)
2830 EAST ST
ANDERSON, CA 96007
Shasta County (530) 365-2545
ROBERTA ANN SAMPLES MSN, APRN, FNP-BC
Nurse Practitioner (Family)
2830 EAST ST
ANDERSON, CA 96007
Shasta County (530) 365-2545
DR. NIRMAL SINGH MEHTON MD
Family Medicine
2830 EAST ST
ANDERSON, CA 96007
Shasta County (530) 365-2545

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 Susan Ault's NPI number?

The NPI number for Susan Ault is 1790777100. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Susan Ault located?

Susan Ault practices at 2830 East St, Anderson, CA 96007. The listed phone number is (530) 365-2545.

What is Susan Ault's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Susan Ault was last updated on May 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.