Suzanne Germain, NP

Key facts

NPI

1194765396

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

1010012785 (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

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Five-Town Health Alliance, Inc Federally Qualified Health Center (FQHC) · Bristol, VT · NPI 1871840843
  Medicare reassignment VT
• Mountain Health Center Family Medicine Physician · Bristol, VT · NPI 1003939463
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 26, 2013.

{
    "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": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VT",
            "license": "101-0012785",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "1010012785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0NP0433",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VT

• Ann Dreher Fisher
• Five-Town Health Alliance, Inc
• Five-Town Health Alliance, Inc
• 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.

All providers in Bristol, VT · Nurse Practitioner in Vermont