Active NPI
Susan B Winchester, RN,MS,FNP
- Nurse Practitioner
- Clifton Park, NY
National Provider Identifier
1568573244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F334745
- Practice address
- 989 Route 146
Building 200
Clifton Park, NY 12065-3646 - Phone
- (518) 383-0891
- Fax
- (518) 383-1662
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F334745 | NY | Primary |
Addresses
Primary practice location
989 Route 146
Building 200
Clifton Park, NY 12065-3646
Mailing address
989 Route 146
Building 200
Clifton Park, NY 12065-3646
Phone (518) 383-0891
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102388 | Other | NY | GHI/HMO |
| 02713959 | Medicaid | NY | |
| 385801 | Other | NY | MVP HEALTHCARE |
| 000410779001 | Other | NY | BSNENY |
| 070327000106 | Other | NY | FIDELIS |
| 200439 | Other | NY | SENIOR WHOLE HEALTH |
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)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F334745 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225238400000",
"number": "1568573244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "989 ROUTE 146",
"address_2": "BUILDING 200",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653646",
"telephone_number": "518-383-0891",
"fax_number": "518-383-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "989 ROUTE 146",
"address_2": "BUILDING 200",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653646",
"telephone_number": "518-383-0891",
"fax_number": "518-383-1662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINCHESTER",
"first_name": "SUSAN",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "RN,MS,FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2008-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F334745",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI/HMO",
"identifier": "102388",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02713959",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTHCARE",
"identifier": "385801",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNENY",
"identifier": "000410779001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "070327000106",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENIOR WHOLE HEALTH",
"identifier": "200439",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.