Individual provider Active NPI

Carol Williams-Suich, ARNP

  • Family Nurse Practitioner
  • Lebanon, NH
National Provider Identifier
1003802018
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
030025-23-03 Issued in NH
Practice address
5 Alice Peck Day Dr
Lebanon, NH 03766-2901
Phone
(603) 448-3122
Fax
(603) 448-7491
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 030025-23-03 NH Primary

Addresses

Primary practice location

5 Alice Peck Day Dr
Lebanon, NH 03766-2901

Mailing address

10 Alice Peck Day Dr
Lebanon, NH 03766-2694
Phone (603) 448-3121

Other identifiers 4

IdentifierTypeStateIssuer
08P456OtherNHMVP
30004992MedicaidNH
0NP0236MedicaidVT
00019047OtherVTBCBSVT

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth-Hitchcock Clinic Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1003802018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ALICE PECK DAY DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662694",
            "telephone_number": "603-448-3121",
            "fax_number": "603-448-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ALICE PECK DAY DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662901",
            "telephone_number": "603-448-3122",
            "fax_number": "603-448-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-SUICH",
        "first_name": "CAROL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "030025-23-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "08P456",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004992",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0NP0236",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSVT",
            "identifier": "00019047",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.