Individual provider Active NPI

Susan Kambe, APRN

  • Adult Health Nurse Practitioner
  • East Hartford, CT
National Provider Identifier
1205803335
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
001541 Issued in CT
Practice address
869 Forbes St
School Based Health Center
East Hartford, CT 06118-1958
Phone
(860) 622-5340
Fax
(860) 622-5342
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 001541 CT Primary

Addresses

Primary practice location

869 Forbes St
School Based Health Center
East Hartford, CT 06118-1958

Mailing address

55 Oakridge
Unionville, CT 06085-1475
Phone (860) 676-0133

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
001541CTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health Services, Inc. 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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1205803335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 OAKRIDGE",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851475",
            "telephone_number": "860-676-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 FORBES ST",
            "address_2": "SCHOOL BASED HEALTH CENTER",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061181958",
            "telephone_number": "860-622-5340",
            "fax_number": "860-622-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMBE",
        "first_name": "SUSAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "001541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.