Suzanne Dansereau, M.D. LAC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

201001898 Issued in NC

Practice address

6 Morningside Dr
Weaverville, NC 28787-9100

Phone

(828) 484-9032

NPI assigned

Nov 6, 2006

Last updated

Jun 23, 2015By 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dula Springs Wellness Center PA

  • Family Medicine Physician
  • Weaverville, NC
  • NPI 1962833426
  Authorized official Same address or phone
• Parkway Medical Clinic

  • Family Medicine Physician
  • Manchester, KY
  • NPI 1992965032
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1447329495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MORNINGSIDE DR",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879100",
            "telephone_number": "828-484-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MORNINGSIDE DR",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879100",
            "telephone_number": "828-484-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANSEREAU",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.  LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "201001898",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "28352",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7116",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Freeman Creasman, PHARMD
• Crossroads Treatment Center of Weaverville, PC
• Jane Adams Crowe, RPH.
• Katherine Ainsworth Crowgey, DPT, OCS, CERT DN
• Jessica Lynn Daily, LMFT
• Carlyn Marie Daubs, LPA
• David a Merrell DMD PA (Weaverville Family Dentistry)
• Rebecca Elisabeth Defreest
• Lauren Denton
• Natalie Alexandra Desisto, LCMHC, NCC

• Family Medicine Physician in Weaverville, NC
• Providers in Weaverville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.