Active NPI
Susanna Lebedinskaya
- Rehabilitation Clinical Nurse Specialist
- North Brookfield, MA
National Provider Identifier
1497906853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinical Nurse Specialist
- License
- 6083
- Practice address
- 35 Saint John St Apt 2
North Brookfield, MA 01535-1940 - Phone
- (774) 221-3077
- NPI assigned
- Oct 3, 2008
- 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 |
|---|---|---|---|---|
| Rehabilitation Clinical Nurse Specialist | 364SR0400X | 6083 | MA | Primary |
Addresses
Primary practice location
35 Saint John St Apt 2
North Brookfield, MA 01535-1940
Mailing address
35 Saint John St Apt 2
North Brookfield, MA 01535-1940
Phone (774) 221-3077
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 |
|---|---|---|---|
| 6083 | MA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222992000000",
"number": "1497906853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 SAINT JOHN ST APT 2",
"city": "NORTH BROOKFIELD",
"state": "MA",
"postal_code": "015351940",
"telephone_number": "774-221-3077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 SAINT JOHN ST APT 2",
"city": "NORTH BROOKFIELD",
"state": "MA",
"postal_code": "015351940",
"telephone_number": "774-221-3077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBEDINSKAYA",
"first_name": "SUSANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-03",
"last_updated": "2008-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "364SR0400X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Rehabilitation",
"state": "MA",
"license": "6083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Brookfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.