Individual provider Active NPI

Susanne Catherine Clare, NP-C

  • Family Nurse Practitioner
  • Exeter, NH
National Provider Identifier
1245780345
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
079119-23 Issued in NH
Practice address
1 Hampton Rd Unit 301
Exeter, NH 03833-4856
Phone
(603) 583-4603
NPI assigned
Oct 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 079119-23 NH Primary

Addresses

Primary practice location

1 Hampton Rd Unit 301
Exeter, NH 03833-4856

Mailing address

1 Hampton Rd Unit 301
Exeter, NH 03833-4856
Phone (603) 583-4603

Other practice location 1

303 Haverhill St # 7C
Rowley, MA 01969-2101
Phone (978) 948-3902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 18, 2020 through Sep 18, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
079119-23NHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1245780345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HAMPTON RD UNIT 301",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334856",
            "telephone_number": "603-583-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAMPTON RD UNIT 301",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334856",
            "telephone_number": "603-583-4603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Haverhill St # 7C",
            "address_purpose": "LOCATION",
            "city": "Rowley",
            "state": "MA",
            "postal_code": "019692101",
            "country_code": "US",
            "telephone_number": "978-948-3902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARE",
        "first_name": "SUSANNE",
        "middle_name": "CATHERINE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "079119-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

Verify at the official NPI Registry.