Individual provider Active NPI

Susan Rona Tucker, M.D.

  • Psychiatry Physician
  • Norwich, VT
National Provider Identifier
1013942796
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0420013357 Issued in VT
Practice address
221 Route 5 S
Norwich, VT 05055-9523
Phone
(802) 369-9378
Fax
(802) 649-7217
NPI assigned
Jul 11, 2006
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0420013357 VT Primary

Addresses

Primary practice location

221 Route 5 S
Norwich, VT 05055-9523

Mailing address

PO Box 252
Norwich, VT 05055-0252
Phone (802) 369-9378

Other practice location 1

302 Hawk Pine Rd
Norwich, VT 05055-9631
Phone (802) 369-9378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160223000503 VT Practitioner - Psychiatry 0446436737 Reassigns benefits to 2 organizations
I20170118001460 NH Practitioner - Psychiatry 0446436737 Practice locations: Lebanon, NH

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

221 Route 5 S
Norwich, VT 05055-9523
Phone (802) 369-9378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0420013357VTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Hospital CurrentSince Jan 11, 2016 Accepting new patients
Springfield Hospital .Inc CurrentSince Jan 11, 2016 Accepting new patients

Locations

1 Hospital Ct
Bellows Falls, VT 05101
Phone (802) 463-1292

100 River St
Springfield, VT 05156
Phone (802) 886-8900

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1013942796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 252",
            "city": "NORWICH",
            "state": "VT",
            "postal_code": "050550252",
            "telephone_number": "802-369-9378",
            "fax_number": "802-649-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 ROUTE 5 S",
            "city": "NORWICH",
            "state": "VT",
            "postal_code": "050559523",
            "telephone_number": "802-369-9378",
            "fax_number": "802-649-7217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Hawk Pine Rd",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "VT",
            "postal_code": "050559631",
            "country_code": "US",
            "telephone_number": "802-369-9378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "SUSAN",
        "middle_name": "RONA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "0420013357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, VT

Sources for this page

Verify at the official NPI Registry.