Individual provider Active NPI

Susan Buntz, CRNA

  • Certified Registered Nurse Anesthetist
  • Warwick, RI
National Provider Identifier
1336232883
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN25782 Issued in RI
Practice address
455 Tollgate Road
Warwick, RI 02886
Phone
(401) 738-1516
Fax
(401) 738-8837
NPI assigned
Oct 2, 2006
Last updated
Oct 17, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN25782 RI Primary

Addresses

Primary practice location

455 Tollgate Road
Warwick, RI 02886

Mailing address

690 Canton Street
Suite 325
Westwood, MA 02090
Phone (781) 407-7713

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)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean State Anesthesia Partners, Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 7, 2010 Accepting new patients
University Gastroenterology, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 7, 2016 Accepting new patients
Anesthesia Associates of Kent County, LLC Past Accepting new patients

Locations

33 Staniford St
Providence, RI 02905
Phone (401) 274-1810

75 Newman Ave
Ste 100
Rumford, RI 02916

444 Quaker Ln
Warwick, RI 02886
Phone (401) 935-1439

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1336232883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 CANTON STREET",
            "address_2": "SUITE 325",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "02090",
            "telephone_number": "781-407-7713",
            "fax_number": "781-407-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 TOLLGATE ROAD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-738-1516",
            "fax_number": "401-738-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNTZ",
        "first_name": "SUSAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "RI",
            "license": "RN25782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.