Suellen O Drake, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

04081123 Issued in NH

Practice address

13 Jenkins CT Ste 247
Durham, NH 03824

Phone

(603) 942-5694

Fax

(603) 942-8194

NPI assigned

Jan 13, 2007

Last updated

May 14, 2018By 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 1

Addresses

Other names 1

• Olivia Suellen Drake Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 12, 2021 through Apr 12, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Advanced Nurse Practitioner Services, LLC

  • Family Nurse Practitioner
  • Northwood, NH
  • NPI 1629390935
  NPD (past) Authorized official

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1568513976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 924",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038240924",
            "telephone_number": "603-608-6192",
            "fax_number": "603-942-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 JENKINS CT STE 247",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "03824",
            "telephone_number": "603-942-5694",
            "fax_number": "603-942-8194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1913 Dover Rd",
            "address_purpose": "LOCATION",
            "city": "Epsom",
            "state": "NH",
            "postal_code": "032344128",
            "country_code": "US",
            "telephone_number": "603-942-5694",
            "fax_number": "603-942-8194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 1st Nh Tpke",
            "address_purpose": "LOCATION",
            "city": "Northwood",
            "state": "NH",
            "postal_code": "032613503",
            "country_code": "US",
            "telephone_number": "603-942-5694",
            "fax_number": "603-942-8194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "SUELLEN",
        "middle_name": "O",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-13",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "04081123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "DRAKE",
            "middle_name": "SUELLEN",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Maya Marie Dow
• Ernie R Downs, PHD
• Joy Roddy Downs, PH.D.
• Mary Heather Dubie, RD
• Durham Chiropractic PLLC
• Durham Dental
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• Anne Eiseman

• Family Nurse Practitioner in Durham, NH
• Providers in Durham, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.