Susan I Gaither, RNCNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024166260 Issued in VA

Practice address

3708 S Main St
Blacksburg, VA 24060-7007

Phone

(540) 951-3376

Fax

(540) 951-1276

NPI assigned

Nov 1, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• 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

Locations

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.

• Derm One, PLLC

  • Dermatology Physician
  • Bluefield, VA
  • NPI 1053493288
  Medicare reassignment NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1053498121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 S MAIN ST",
            "address_2": "STE B",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607006",
            "telephone_number": "540-951-3376",
            "fax_number": "540-951-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607007",
            "telephone_number": "540-951-3376",
            "fax_number": "540-951-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAITHER",
        "first_name": "SUSAN",
        "middle_name": "I",
        "credential": "RNCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE NUMBER",
            "identifier": "0024166260",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Stultz French
• Fresh Focus Psychiatric Services PLLC
• Samuel Freytes-Rivera, DO
• Erno Fulop, D.M.D
• Andrea Bellamy Fulp, RDN
• Elizette Marie Galarza Carrasquillo
• Elizabeth Hovanec Gallant, LCSW
• Louisa Gamor
• Ruby Garcia, MD
• Laura Jones Gardner, MSW

• Family Nurse Practitioner in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.