Active NPI
Susan Lorraine Wilds, MA
- Basic Emergency Medical Technician
- Hanover, NH
National Provider Identifier
1134529159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- B1479481
- Practice address
- 7 Rope Ferry Rd
Hanover, NH 03755-1421 - Phone
- (603) 646-9417
- Fax
- (603) 646-9410
- NPI assigned
- Aug 27, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | B1479481 | VT | Primary |
Addresses
Primary practice location
7 Rope Ferry Rd
Hanover, NH 03755-1421
Mailing address
7 Rope Ferry Rd
Hanover, NH 03755-1421
Phone (603) 646-9417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B1479481 | VT | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1134529159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 ROPE FERRY RD",
"city": "HANOVER",
"state": "NH",
"postal_code": "037551421",
"telephone_number": "603-646-9417",
"fax_number": "603-646-9410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 ROPE FERRY RD",
"city": "HANOVER",
"state": "NH",
"postal_code": "037551421",
"telephone_number": "603-646-9417",
"fax_number": "603-646-9410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDS",
"first_name": "SUSAN",
"middle_name": "LORRAINE",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-27",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "VT",
"license": "B1479481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.