Active NPI
Susan Rouillard
- Developmental Therapist
- Whitefield, NH
National Provider Identifier
1376743161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 68608
- Practice address
- 29 View Street
Whitefield, NH 03598-3602 - Phone
- (603) 356-6921
- NPI assigned
- Jul 20, 2007
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 68608 | NH | Primary |
Addresses
Primary practice location
29 View Street
Whitefield, NH 03598-3602
Mailing address
29 View St
Whitefield, NH 03598-3602
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68608 | NH | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184889600000",
"number": "1376743161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 VIEW ST",
"city": "WHITEFIELD",
"state": "NH",
"postal_code": "035983602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 VIEW STREET",
"city": "WHITEFIELD",
"state": "NH",
"postal_code": "035983602",
"telephone_number": "603-356-6921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUILLARD",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-20",
"last_updated": "2007-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NH",
"license": "68608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitefield, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.