Active NPI
Suzanne Toukan
- Community Health Worker
- Lynnfield, MA
National Provider Identifier
1003535139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- S61395503
- Practice address
- 6 Kimball LN Ste 310
Lynnfield, MA 01940-2680 - Phone
- (781) 246-2010
- NPI assigned
- Aug 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | S61395503 | MA | Primary |
Addresses
Primary practice location
6 Kimball LN Ste 310
Lynnfield, MA 01940-2680
Mailing address
6 Kimball LN Ste 310
Lynnfield, MA 01940-2680
Phone (781) 246-2010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7846K017501 | Medicaid | MA | |
| 100226963261 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S61395503 | MA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1003535139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 KIMBALL LN STE 310",
"city": "LYNNFIELD",
"state": "MA",
"postal_code": "019402680",
"telephone_number": "781-246-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 KIMBALL LN STE 310",
"city": "LYNNFIELD",
"state": "MA",
"postal_code": "019402680",
"telephone_number": "781-246-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOUKAN",
"first_name": "SUZANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-23",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MA",
"license": "S61395503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7846K017501",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100226963261",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynnfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.