Susan Raymond Marcoulier, AGPCNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN205674 Issued in MA

Practice address

87 N Main St
Leominster, MA 01453-5507

Phone

(978) 534-8701

NPI assigned

Aug 14, 2014

Last updated

Aug 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HAJFCA

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1003215138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 COLE RD",
            "city": "STERLING",
            "state": "MA",
            "postal_code": "015642237",
            "telephone_number": "978-790-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 N MAIN ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014535507",
            "telephone_number": "978-534-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOULIER",
        "first_name": "SUSAN",
        "middle_name": "RAYMOND",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN205674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Elizabeth Manseau, PA-C
• Maragal Medical PC
• Maragal Medical PC
• Michelle L. Maramarco, LCSW
• Sadie Patricia Marciano, PA-S
• Mark M. Meszaros, D.D.S.,P.C.
• John Thomas Markham, LICSW
• Howard S Markowitz, D.D.S.
• Stephen Markowitz, D.M.D
• Teresa Marshall-Bradbury, RPSGT

• Primary Care Nurse Practitioner in Leominster, MA
• Providers in Leominster, MA by specialty
• Primary Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.