Active NPI
Susan M. Ross
- Home Health Registered Nurse
- Benton, ME
National Provider Identifier
1639409063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RO47863
- Practice address
- 1604 Benton Ave
Benton, ME 04901-3327 - Phone
- (207) 453-4708
- Fax
- (207) 453-6250
- NPI assigned
- Jan 7, 2010
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RO47863 | ME | Primary |
Addresses
Primary practice location
1604 Benton Ave
Benton, ME 04901-3327
Mailing address
1604 Benton Ave
Benton, ME 04901-3327
Phone (207) 453-4708
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO47863 | ME | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262822400000",
"number": "1639409063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 BENTON AVE",
"city": "BENTON",
"state": "ME",
"postal_code": "049013327",
"telephone_number": "207-453-4708",
"fax_number": "207-453-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 BENTON AVE",
"city": "BENTON",
"state": "ME",
"postal_code": "049013327",
"telephone_number": "207-453-4708",
"fax_number": "207-453-6250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "SUSAN",
"middle_name": "M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-07",
"last_updated": "2010-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "ME",
"license": "RO47863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.