Individual provider Active NPI

Susan S Lee, CNRP

  • Family Nurse Practitioner
  • Easton, PA
National Provider Identifier
1376846618
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012073 Issued in PA
Practice address
1800 Sullivan TRL
Suite 320
Easton, PA 18040-8397
Phone
(610) 941-4208
Fax
(610) 941-4158
NPI assigned
Dec 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP012073 PA Primary

Addresses

Primary practice location

1800 Sullivan TRL
Suite 320
Easton, PA 18040-8397

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (610) 941-4208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20140421000858 PA Practitioner - Nurse Practitioner 3173755436 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP012073PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Medical Group LLC CurrentSince Oct 1, 2015 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Oct 16, 2017 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Oct 16, 2017 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Prospect Health Access Network, Inc. Past Accepting new patients

Locations

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

2701 DeKalb Pike
Fl 2
East Norriton, PA 19401
Phone (610) 275-1028

1437 DeKalb St
Ste 101
Norristown, PA 19401
Phone (610) 279-6621

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

1324 Macdade Blvd
Woodlyn, PA 19094
Phone (610) 872-2200

Interoperability endpoints

  • Direct secure messaging: susan.lee@chpm.cernerdirect.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1376846618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "610-941-4208",
            "fax_number": "610-941-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN TRL",
            "address_2": "SUITE 320",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180408397",
            "telephone_number": "610-941-4208",
            "fax_number": "610-941-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUSAN",
        "middle_name": "S",
        "credential": "CNRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.