Susan Wassermann Daveiro

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

104 Gaston Dr
Elizabeth City, NC 27909-9460

Phone

(252) 330-1318

NPI assigned

Jan 6, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Susan Daveiro-Community Servcies for Kids

  • Early Intervention Provider Agency
  • Elizabeth City, NC
  • NPI 1750510822
  NPD (past) Authorized official

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1093951527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 GASTON DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099460",
            "telephone_number": "252-330-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GASTON DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099460",
            "telephone_number": "252-330-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVEIRO",
        "first_name": "SUSAN",
        "middle_name": "WASSERMANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashonda Renee Dance, LCSWA
• Regis Allen Dandar, D.M.D.
• Kelly Daniels, LAT ATC
• Kiana Shanee Daniels
• Shannon Nicole Dart, FNP-BC
• April Nicole Davenport
• David Michael Davis, M.D.
• Dorothy Davis
• Christin Perry Dawson, MSW, LCSW
• Margaret Ruth Dawson, FNP,BC

• Early Intervention Provider Agency in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Early Intervention Provider Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.