Susan Anne Cabral, RN

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

RN209560 Issued in MA

Practice address

693 Crandall Rd
Tiverton, RI 02878-2616

Phone

(401) 640-2420

NPI assigned

Nov 30, 2021

Last updated

Nov 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1619635372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 CRANDALL RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028782616",
            "telephone_number": "401-624-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 CRANDALL RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028782616",
            "telephone_number": "401-640-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRAL",
        "first_name": "SUSAN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "RN209560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "4016402420",
            "affiliation": "N",
            "endpointDescription": "My phone number",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "address",
            "address_1": "693 Crandall Rd",
            "city": "Tiverton",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028782616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in Tiverton, RI
• Providers in Tiverton, RI by specialty
• Community/Behavioral Health Agency in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.