Active NPI
Suzanne Carol Hines, APRN, FNP-C
- Family Nurse Practitioner
- Norwalk, CT
National Provider Identifier
1194008466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 004761
- Practice address
- 10 Mott Ave FL 4
Norwalk, CT 06850-3320 - Phone
- (203) 855-7551
- Fax
- (203) 855-7624
- NPI assigned
- Sep 23, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 004761 | CT | Primary |
Addresses
Primary practice location
10 Mott Ave FL 4
Norwalk, CT 06850-3320
Mailing address
10 Mott Ave FL 4
Norwalk, CT 06850-3320
Phone (203) 855-7551
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4761 | CT | MD | Psychologist |
| 004761 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVC CT | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1194008466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MOTT AVE FL 4",
"city": "NORWALK",
"state": "CT",
"postal_code": "068503320",
"telephone_number": "203-855-7551",
"fax_number": "203-855-7624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MOTT AVE FL 4",
"city": "NORWALK",
"state": "CT",
"postal_code": "068503320",
"telephone_number": "203-855-7551",
"fax_number": "203-855-7624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "SUZANNE",
"middle_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "004761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.