Individual provider Active NPI

Suzzy Ndiritu

  • Gerontology Nurse Practitioner
  • Dracut, MA
National Provider Identifier
1174810493
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN276323 Issued in MA
Practice address
64 Redgate Rd
Ma
Dracut, MA 01826-1900
Phone
(978) 870-8778
Fax
(978) 296-3459
NPI assigned
Jul 7, 2011
Last updated
Mar 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN276323 MA
Gerontology Nurse Practitioner 363LG0600X RN276323 MA Primary

Addresses

Primary practice location

64 Redgate Rd
Ma
Dracut, MA 01826-1900

Mailing address

64 Redgate Rd
Ma
Dracut, MA 01826-1900
Phone (978) 870-8778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN276323MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ecs Wellness, Inc CurrentSince Mar 20, 2025 Accepting new patients

Locations

84 Highland Ave
Ste 311
Salem, MA 01970
Phone (617) 910-8975

35 United Dr
Ste 102
West Bridgewater, MA 02379

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19377/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1174810493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 REDGATE RD",
            "address_2": "MA",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018261900",
            "telephone_number": "978-870-8778",
            "fax_number": "978-296-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 REDGATE RD",
            "address_2": "MA",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018261900",
            "telephone_number": "978-870-8778",
            "fax_number": "978-296-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDIRITU",
        "first_name": "SUZZY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN276323",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN276323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dracut, MA

Sources for this page

Verify at the official NPI Registry.