Susan M Kelleher, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

166328 Issued in MA

Practice address

133 Littleton Rd
Suite 101
Westford, MA 01886-3115

Phone

(978) 577-0437

Fax

(978) 692-4276

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Nurse Practitioner

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pediatrics West PCGroup PAC ID 0143448514, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kelleher.susan.epho@direct.partners.masshiway.net

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.

• Pediatrics West, PC

  • Pediatrics Physician
  • Westford, MA
  • NPI 1598850281
  Medicare reassignment Care Compare group
• Emerson Hospital

  • General Acute Care Hospital
  • Concord, MA
  • NPI 1467587881
  NPD
• Specialty West PLLC

  • Allergy & Immunology Physician
  • Westford, MA
  • NPI 1518383538
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1306931019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 LITTLETON RD",
            "address_2": "SUITE 101",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863115",
            "telephone_number": "978-577-0437",
            "fax_number": "978-692-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 LITTLETON RD",
            "address_2": "SUITE 101",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863115",
            "telephone_number": "978-577-0437",
            "fax_number": "978-692-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "166328",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "RI",
            "license": "CNPP37485",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Bengson Kam, DMD
• Albert Kang, DDS
• Tony Kang, DMD
• Ramesh V Kare, DMD
• Manjiri Kashikar
• Linda Kellett, N.P.
• Eleanor Kelly
• Valerie Lynne Kelly, O.D.
• Key Connections ABA Services, LLC
• Sara Khosrowjerdi, MS L.AC.

• Pediatric Nurse Practitioner in Westford, MA
• Providers in Westford, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.