Suzanne M Shannahan, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

143492 Issued in MA

Practice address

112 Turnpike Rd Ste 301
Westborough, MA 01581-2831

Phone

(508) 366-1550

Fax

(508) 366-2815

NPI assigned

Apr 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Suzanne M Doherty Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: shannahan.suzanne.crm@direct.partners.masshiway.net

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1457315574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MAIN ST STE 203B",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211187",
            "telephone_number": "508-881-3029",
            "fax_number": "508-881-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 TURNPIKE RD STE 301",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812831",
            "telephone_number": "508-366-1550",
            "fax_number": "508-366-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNAHAN",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "143492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shannahan.Suzanne.CRM@direct.partners.masshiway.net",
            "affiliation": "N",
            "address_1": "112 Turnpike Rd Ste 301",
            "city": "Westborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015812831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "DOHERTY",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Nurse Practitioner in Westborough, MA
• Providers in Westborough, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.