Susana Larvie, CRNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN563757 Issued in PA

Practice address

1166 Hilts Rd
Wrightsville, PA 17368-9205

Phone

(717) 478-1616

Fax

(717) 252-6345

NPI assigned

Jun 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Susana Eunice Tettey Former name

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Coras Wellness and Behavioral Health, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Millsboro, DE
  • NPI 1023686284

  DE

  Medicare reassignment Care Compare group NPD

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Coras Wellness and Behavioral Health LLC 14 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1265638985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W LEXTON RD",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197208824",
            "telephone_number": "267-467-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 HILTS RD",
            "city": "WRIGHTSVILLE",
            "state": "PA",
            "postal_code": "173689205",
            "telephone_number": "717-478-1616",
            "fax_number": "717-252-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARVIE",
        "first_name": "SUSANA",
        "name_prefix": "Miss",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN563757",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP017300",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG0001013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANA",
            "last_name": "TETTEY",
            "middle_name": "EUNICE",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tierni Leigh Eaton, NBC-HWC
• Tamaria Katrina Featherlin, PMHNP-BC
• Rebecca Diane Hoke, ATC
• John M Jensen
• Lancaster General Health - Columbia Center
• Liu #12 School Based Partial Hospitalization Program
• Shirley Mackley, PSY.D
• Nzingha Martin
• Robert C Matylewicz Jr., D.O.
• Alyssa Noll

• All providers in Wrightsville, PA
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.