Active NPI
Suzanne Humphries, M.D.
- Nephrology Physician
- Searsmont, ME
National Provider Identifier
1386640258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 015655
- Practice address
- 435 Muzzy Ridge Rd
Searsmont, ME 04973-3202 - Phone
- (207) 342-2688
- NPI assigned
- Jun 24, 2005
- Last updated
- Sep 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 015655 | ME | Primary |
Addresses
Primary practice location
435 Muzzy Ridge Rd
Searsmont, ME 04973-3202
Mailing address
PO Box 300
Lincolnville Center, ME 04850-0300
Phone (207) 342-2688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303480099 | Medicaid | ME |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015655 | ME | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1386640258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 300",
"city": "LINCOLNVILLE CENTER",
"state": "ME",
"postal_code": "048500300",
"telephone_number": "207-342-2688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 MUZZY RIDGE RD",
"city": "SEARSMONT",
"state": "ME",
"postal_code": "049733202",
"telephone_number": "207-342-2688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHRIES",
"first_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-24",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "ME",
"license": "015655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303480099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Searsmont, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.