Suzanne Germain, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1010012785 Issued in VT

Practice address

74 Munsill Ave
Suite 100
Bristol, VT 05443-1032

Phone

(802) 453-5028

Fax

(802) 453-6105

NPI assigned

Jun 7, 2006

Last updated

Sep 26, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Five-Town Health Alliance, Inc

  dba Mountain Community Health

  • Federally Qualified Health Center (FQHC)
  • Bristol, VT
  • NPI 1871840843
  Medicare reassignment
• Mountain Health Center

  • Family Medicine Physician
  • Bristol, VT
  • NPI 1003939463
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1194765396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 MUNSILL AVE",
            "address_2": "SUITE 100",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054431032",
            "telephone_number": "802-453-5028",
            "fax_number": "802-453-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 MUNSILL AVE",
            "address_2": "SUITE 100",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054431032",
            "telephone_number": "802-453-5028",
            "fax_number": "802-453-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMAIN",
        "first_name": "SUZANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "1010012785",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VT",
            "license": "101-0012785",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0NP0433",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Dreher Fisher
• Five-Town Health Alliance, Inc (Mountain Community Health)
• Five-Town Health Alliance, Inc (Mountain Community Health)
• Fostering Growth, LLC
• Full Circle Medicine
• Mollie B German, LCMHC
• Diane K Greenberg, PT
• Kristopher Hall
• Charlotte M Hamidzadeh, D.D.S.
• Farid Hamidzadeh, D.M.D, M.S.

• Nurse Practitioner in Bristol, VT
• Providers in Bristol, VT by specialty
• Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.