Individual provider Active NPI

Suzanne Larlham, PCNS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • North Kingstown, RI
National Provider Identifier
1578710224
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
APRN01000 Issued in RI
Practice address
90 Main St
North Kingstown, RI 02852-5018
Phone
(401) 248-5288
Fax
(401) 294-5579
NPI assigned
Aug 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 33534 RI
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X APRN01000 RI
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X APRN01000 RI Primary

Addresses

Primary practice location

90 Main St
North Kingstown, RI 02852-5018

Mailing address

90 Main St
North Kingstown, RI 02852-5018
Phone (401) 248-5288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150511001775 RI Practitioner - Certified Clinical Nurse Specialist (CNS) 7315266517 Practice locations: North Kingstown, RI

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

90 Main St
North Kingstown, RI 02852-5018
Phone (401) 248-5288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33534RIMDAdult Psychiatric/Mental Health Registered Nurse
APRN01000RIMDPsychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1578710224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MAIN ST",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028525018",
            "telephone_number": "401-248-5288",
            "fax_number": "401-294-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MAIN ST",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028525018",
            "telephone_number": "401-248-5288",
            "fax_number": "401-294-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARLHAM",
        "first_name": "SUZANNE",
        "credential": "PCNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "RI",
            "license": "33534",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN01000",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "RI",
            "license": "APRN01000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

Verify at the official NPI Registry.