Suzanne Carlisle Stebenne

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

101.0110101 Issued in VT

Legal business name

SUZANNE CARLISLE STEBENNE

Doing business as

Ideal Primary Care

Practice address

212 Holiday Dr Ste 4
White River Junction, VT 05001-2044

Phone

(202) 394-9166

NPI assigned

Jul 6, 2017

Organization subpart

No

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

Authorized official

Name

Suzanne Carlisle Stebenne, APRN FNP-BCNPI 1740514884

Title

Family Nurse Practitioner

Phone

(202) 394-9166

Specialties & licenses 1

Addresses

Other names 1

• Ideal Primary Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzanne Carlisle Stebenne, APRN

  • Family Nurse Practitioner
  • Hartland, VT
  • NPI 1740514884
  NPD (past) Authorized official

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499299200000",
    "number": "1083135461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 ROUTE 12",
            "city": "HARTLAND",
            "state": "VT",
            "postal_code": "050488109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HOLIDAY DR STE 4",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050012044",
            "telephone_number": "202-394-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE CARLISLE STEBENNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2017-07-06",
        "status": "A",
        "authorized_official_last_name": "CARLISLE STEBENNE",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "202-394-9166",
        "authorized_official_credential": "APRN FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0110101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arielle Courtney Strickland, M.ED, BCBA
• Barbara C Surott-Kimberly, LICSW
• Kaitlyn Surwilo, APRN
• Susan McKenzie Psychotherapy PC
• Gretchen Suter, OD
• Nathan Sylvain, PHARMD
• Tara Lowell Symancyk, D.D.S.
• Hannah Tansey
• Byron Leroy Tapley, RRT
• Thomas H Taylor, M.D.

• Family Nurse Practitioner in White River Junction, VT
• Providers in White River Junction, VT by specialty
• Family Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; 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.