Susan Sanfilippo, RN

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

069-R-0293 Issued in GA

Practice address

135 Prominence CT Ste 120
Dawsonville, GA 30534-8937

Phone

(770) 886-7900

Fax

(706) 265-8450

NPI assigned

Dec 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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.

• Lanier Home Care, LLC

  • In Home Supportive Care Agency
  • Dawsonville, GA
  • NPI 1801770722
  NPD (past)

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1124590922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PROMINENCE CT STE 120",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305348937",
            "telephone_number": "770-886-7900",
            "fax_number": "706-265-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PROMINENCE CT STE 120",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305348937",
            "telephone_number": "770-886-7900",
            "fax_number": "706-265-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFILIPPO",
        "first_name": "SUSAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "069-R-0293",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "GA",
            "license": "069-R-0293",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "069-R-0293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resurgens, LLC
• William Stuart Riley Sr., LPC
• Kelly Elaine Roper, RPH
• Cody Rowan, M.D.
• Emily Sanders
• Sesha K Sataluri, MD
• Sophia Segall, DC
• Ruslan Semchyshyn
• Gabriella Sentelik
• Philip Shadle

• Nurse's Aide in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Nurse's Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.