Individual provider Active NPI

Susanne Tighe Huberty, NP

  • Family Nurse Practitioner
  • Manchester, NH
National Provider Identifier
1154500189
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
070479-23 Issued in NH
Practice address
87 McGregor St FL 4
Dartmouth Hitchcock Norris Cotton Cancer Center
Manchester, NH 03102-3765
Phone
(603) 629-1828
NPI assigned
Oct 26, 2007
Last updated
Oct 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 252353 MA
Family Nurse Practitioner 363LF0000X 070479-23 NH Primary

Addresses

Primary practice location

87 McGregor St FL 4
Dartmouth Hitchcock Norris Cotton Cancer Center
Manchester, NH 03102-3765

Mailing address

87 McGregor St FL 4
Dartmouth Hitchcock Norris Cotton Cancer Center
Manchester, NH 03102-3765
Phone (603) 629-1828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081210000073 MA Practitioner - Nurse Practitioner 5395806319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
252353MAMDPediatrics Physician
070479-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Institute, Inc. Current Accepting new patients
LGH Professional Services LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: huberty.susanne.dfci@direct.partners.masshiway.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1154500189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 MCGREGOR ST FL 4",
            "address_2": "DARTMOUTH HITCHCOCK NORRIS COTTON CANCER CENTER",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023765",
            "telephone_number": "603-629-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MCGREGOR ST FL 4",
            "address_2": "DARTMOUTH HITCHCOCK NORRIS COTTON CANCER CENTER",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023765",
            "telephone_number": "603-629-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBERTY",
        "first_name": "SUSANNE",
        "middle_name": "TIGHE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "252353",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "070479-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.