Susan Christine Peters

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

5505100 Issued in OH

Practice address

600 S Main St
West Milton, OH 45383-1409

Phone

(937) 546-1130

NPI assigned

Dec 31, 2020

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1508453903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST",
            "city": "WEST MILTON",
            "state": "OH",
            "postal_code": "453831409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST",
            "city": "WEST MILTON",
            "state": "OH",
            "postal_code": "453831409",
            "telephone_number": "937-546-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "SUSAN",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "OH",
            "license": "5505100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5505100",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milton-Union Exempted Village
• Kimberly Anne Morewood
• Kelly Christine Morris
• Michael Nelson
• Trisha Anne Overla
• Clifton Wayne Poling, O.D.
• Katie Purtee
• Debra Robinson
• Matthew Sanner
• Bethany M Saylors

• Personal Care Attendant in West Milton, OH
• Providers in West Milton, OH by specialty
• Personal Care Attendant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.