Susan E Macknair, N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

F420016-1 Issued in NY

Practice address

62 Hackett Blvd
Albany, NY 12209-1756

Phone

(518) 465-3318

Fax

(518) 272-7458

NPI assigned

Jul 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Lee and Burack OB/GYN, P.C.

  • Obstetrics & Gynecology Physician
  • Albany, NY
  • NPI 1801983788
  Medicare reassignment
• Womens Health Care Associates PC

  • Obstetrics & Gynecology Physician
  • Latham, NY
  • NPI 1275587230
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1003846122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091756",
            "telephone_number": "518-465-3318",
            "fax_number": "518-272-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091756",
            "telephone_number": "518-465-3318",
            "fax_number": "518-272-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKNAIR",
        "first_name": "SUSAN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420016-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.medentmobile.com/portal/index.php?practice_id=hR57jgc4",
            "affiliation": "N",
            "endpointDescription": "Direct Portal Messaging via EHR system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "62 Hackett Blvd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122091756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica M Mack, PT
• Daniel James Mackessy
• Danielle Felecia Mackey, LMSW
• Marcia Fraher Mackey, RN
• Anne Elizabeth Macknair, SPEECH-LANGUAGE PATH
• Julie D Maclauchlin, RPH
• Barbara Ann Maclean, LCAT, MT-BC, FAMI
• Valerie Ruth Maclean, RN
• Patricia Macmaster, RPH
• Heather Marie Macphail, NP

• Women's Health Nurse Practitioner in Albany, NY
• Providers in Albany, NY by specialty
• Women's Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.