Suzanne Larson Fetter, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

10820 Issued in NH

Practice address

8 Prospect St
Nicu
Nashua, NH 03060-3925

Phone

(603) 577-2565

Fax

(603) 577-2084

NPI assigned

Nov 9, 2006

Last updated

Sep 19, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://epicproxyprd.solutionhealth.org/FHIR_PRD/MYCHART/api/FHIR/R4

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.

• Foundation Medical Partners Inc.

  • Durable Medical Equipment & Medical Supplies
  • Amherst, NH
  • NPI 1679921472
  NPD (past)
• Southern New Hampshire Medical Center

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1598700940
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1205906823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PROSPECT ST",
            "address_2": "NICU",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603925",
            "telephone_number": "603-577-2565",
            "fax_number": "603-577-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PROSPECT ST",
            "address_2": "NICU",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603925",
            "telephone_number": "603-577-2565",
            "fax_number": "603-577-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTER",
        "first_name": "SUZANNE",
        "middle_name": "LARSON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "10820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30201193",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer E Ferreira, PA
• Christine Ferrer, MSW, LICSW
• Luz Damaris Ferrer
• Caitlyn Ferris, BA
• Ian Ferris, PT, DPT, ATC, CSCS
• Fidelis Services LLC
• Julie Ann Fidler, DPT
• Amy Douglas Field, DMD
• Barbara Ellen Fields, LICSW
• Christopher Fifty, BS

• Pediatrics Physician in Nashua, NH
• Providers in Nashua, NH by specialty
• Pediatrics Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.