Susan V. Eagleson, RN

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

PPNS00121 Issued in RI

Practice address

50 Park Ave
Barrington, RI 02806-1024

Phone

(401) 451-8670

NPI assigned

May 13, 2014

Last updated

Jun 5, 2014By the provider in NPPES

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

Other names 1

• Ms. Susan V. Lindstrom Former name

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, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Northeast Behavioral Health LLCGroup PAC ID 7517287444, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast Behavioral Health, LLC

  dba Southcoast Behavioral Health

  • Psychiatric Hospital
  • Dartmouth, MA
  • NPI 1275920001
  Medicare reassignment Care Compare group NPD
• Devens Treatment & Recovery Center, LLC

  dba Taravista Behavioral Health

  • Psychiatry Physician
  • Devens, MA
  • NPI 1811473267
  Medicare reassignment NPD
• Uhs of Westwood Pembroke Inc

  dba Westwood Lodge Hospital

  • Psychiatric Hospital
  • Westwood, MA
  • NPI 1760453328
  Medicare reassignment NPD

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1366853251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PARK AVE",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028061024",
            "telephone_number": "401-451-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PARK AVE",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028061024",
            "telephone_number": "401-451-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLESON",
        "first_name": "SUSAN",
        "middle_name": "V.",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN18914",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "RI",
            "license": "PPNS00121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "LINDSTROM",
            "middle_name": "V.",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaitlin May Dickerson
• Kate Diiorio, LPN
• Dr Diane E King MD Inc
• Christopher John Drummy, LICSW
• John Allison Duncan III, MD
• East Bay Center, Inc.
• East Bay Center, Inc.
• East Bay Community Action Program
• East Bay Pediatric & Adolescent Medicine Associates Inc
• Sharron Edwards, REGISTERED NURSE

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Barrington, RI
• Providers in Barrington, RI by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.