Susan T Hoggard
Individual provider Active NPI Pediatric Nurse Practitioner · Ahoskie, NC
NPI 1013079938 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013079938
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 300345 (NC)
- Practice address
- 201 Colony Ave S
Ahoskie, NC 27910-3207 - Phone
- (252) 332-5041
- Fax
- (252) 332-6115
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240502001872 | NC | Practitioner - Nurse Practitioner | 8022458439 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300345 | NC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roanoke Chowan Community Health Center Inc | Current |
Accepting new patients | |
| Roanoke Chowan Community Health Center Inc | Current |
Accepting new patients | |
| Roanoke Chowan Community Health Center Inc | Current | Accepting new patients | |
| Carolina Pediatrics, PA | Past | Accepting new patients |
Locations
120 Health Center Dr
Ahoskie, NC 27910
Phone (252) 209-0237
113 Hertford County High Rd
#B
Ahoskie, NC 27910
Phone (252) 209-3375
305 Beechwood Blvd
Murfreesboro, NC 27855
Phone (252) 398-3323
Interoperability endpoints
- shoggard658159@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 300345 | NC | Yes |
Addresses
Primary practice location
201 Colony Ave S
Ahoskie, NC 27910-3207
Mailing address
201 Colony Ave S
Ahoskie, NC 27910-3207
Phone (252) 332-5041
Other providers in Ahoskie, NC
- Hertford County Public Health Authority
- Hertford Place, LLC
- Stephanie Leigh Hill
- Debbie Lynne Hinton-Thomas
- Casey Hoggard
- Natasha Coley Holley
- Vanessa Renee Holley
- Home Life Care Inc
- Home Life Care Inc
- Margalita Brigette Hooper-Vinson
All providers in Ahoskie, NC · Pediatric Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.