Susan Elizabeth Quaglietti

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

309022 Issued in CA

Practice address

1028 Ringwood Ave
Menlo Park, CA 94025-2208

Phone

(650) 326-4019

NPI assigned

Oct 16, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144300039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 RINGWOOD AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252208",
            "telephone_number": "650-326-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 RINGWOOD AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252208",
            "telephone_number": "650-326-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAGLIETTI",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "309022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin Edward Prouty, PHD
• Melissa Anne Puckett, MS
• Sandra Ann Pursell, PH.D.
• Jonathan Purtell
• Anthony Quach
• Qualium Corp
• Qualium Corp.
• Brian Quan, O.D.
• Vanessa Quesada Tavares, LVN
• Timothy Quinn, LCSW

• Registered Nurse in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.