Active NPI
Susan R Gosselin, APRN
- Family Nurse Practitioner
- Dover, NH
National Provider Identifier
1366721839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 053956-23
- Practice address
- 50 Sterling Way
Dover, NH 03820-4770 - Phone
- (978) 944-1118
- NPI assigned
- Aug 15, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 053956-23 | NH | Primary |
Addresses
Primary practice location
50 Sterling Way
Dover, NH 03820-4770
Mailing address
50 Sterling Way
Dover, NH 03820-4770
Phone (866) 389-2727
Other practice location 1
20 Chambers Dr
Suite 2200
Hooksett, NH 03106-1981
Phone (603) 641-5386
Other practice location 2
321 Lafayette Rd
Hampton, NH 03842-2158
Phone (978) 944-1118
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 Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053956-23 | NH | MD | Family Nurse Practitioner |
Interoperability endpoints
- susan.gosselin.1@18127.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1366721839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 STERLING WAY",
"city": "DOVER",
"state": "NH",
"postal_code": "038204770",
"telephone_number": "866-389-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 STERLING WAY",
"city": "DOVER",
"state": "NH",
"postal_code": "038204770",
"telephone_number": "978-944-1118"
}
],
"practiceLocations": [
{
"address_1": "20 Chambers Dr",
"address_2": "SUITE 2200",
"address_purpose": "LOCATION",
"city": "Hooksett",
"state": "NH",
"postal_code": "031061981",
"country_code": "US",
"telephone_number": "603-641-5386",
"fax_number": "603-641-5387",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "321 Lafayette Rd",
"address_purpose": "LOCATION",
"city": "Hampton",
"state": "NH",
"postal_code": "038422158",
"country_code": "US",
"telephone_number": "978-944-1118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOSSELIN",
"first_name": "SUSAN",
"middle_name": "R",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-15",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "053956-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.