Active NPI
Susan Macmillan Rioux, RN
- Clinic/Center
- Syracuse, NY
National Provider Identifier
1215244223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 276781-1
- Practice address
- 736 Irving Ave
Educational Services Dept
Syracuse, NY 13210-1687 - Phone
- (315) 470-7801
- Fax
- (315) 470-2764
- NPI assigned
- Sep 13, 2010
- Last updated
- Sep 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 276781-1 | NY | Primary |
Addresses
Primary practice location
736 Irving Ave
Educational Services Dept
Syracuse, NY 13210-1687
Mailing address
736 Irving Ave
Educational Services Dept
Syracuse, NY 13210-1687
Phone (315) 470-7801
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 276781-1 | NY | MD | Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284336000000",
"number": "1215244223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 IRVING AVE",
"address_2": "EDUCATIONAL SERVICES DEPT",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101687",
"telephone_number": "315-470-7801",
"fax_number": "315-470-2764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 IRVING AVE",
"address_2": "EDUCATIONAL SERVICES DEPT",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101687",
"telephone_number": "315-470-7801",
"fax_number": "315-470-2764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIOUX",
"first_name": "SUSAN",
"middle_name": "MACMILLAN",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-13",
"last_updated": "2010-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NY",
"license": "276781-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.