SUSAN AMIDON RN, CDE
NPI 1831606383
Registered Nurse in Medford, OR

Q: What is Susan Amidon's NPI number?

The NPI number for Susan Amidon is 1831606383. It was assigned to this individual provider in the NPPES registry on January 5, 2018.

Q: What is Susan Amidon's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Amidon was last updated on January 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since January 05, 2018

555 BLACK OAK DR STE 310, MEDFORD, OR 97504(541) 789-4658 Get Directions Write a Review

NPPES record last updated: January 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Susan Amidon Rn, Cde NPPES

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

SUSAN AMIDON RN, CDE (NPI 1831606383) is an individual registered nurse in Medford, Oregon, licensed in Oregon (091000133) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1831606383

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameSUSAN AMIDONCredential: RN, CDE

Location Address555 BLACK OAK DR STE 310Medford, OR 97504-8491

Mailing Address2620 E Barnett Rd Ste HMedford, OR 97504-8383

Phone(541) 789-4658

Sole ProprietorNo

Enumeration DateJanuary 5, 2018

✔ NPI 1831606383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in OR · 091000133

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X · License 20610437 (OR)

555 BLACK OAK DR STE 310, Medford, OR 97504

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Other Providers at the Same Location NPPES

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

TINA DAVROS JONES RD

Dietitian, Registered

555 BLACK OAK DR STE 310
MEDFORD, OR 97504

Jackson County (541) 789-5096

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 Amidon's NPI number?

The NPI number for Susan Amidon is 1831606383. It was assigned to this individual provider in the NPPES registry on January 5, 2018.

Where is Susan Amidon located?

Susan Amidon practices at 555 Black Oak Dr Ste 310, Medford, OR 97504. The listed phone number is (541) 789-4658.

What is Susan Amidon's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Susan Amidon was last updated on January 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.