Active NPI
Susan Quattrini Parmenter, FNP
- Family Nurse Practitioner
- Surprise, AZ
National Provider Identifier
1700811726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP4488
- Practice address
- 15571 N Reems Rd
Surprise, AZ 85374-9584 - Phone
- (623) 544-6932
- Fax
- (623) 321-1070
- NPI assigned
- Jul 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F333022 | NY | |
| Family Nurse Practitioner | 363LF0000X | AP4488 | AZ | Primary |
Addresses
Primary practice location
15571 N Reems Rd
Surprise, AZ 85374-9584
Mailing address
15571 N Reems Rd
Surprise, AZ 85374-9584
Phone (623) 544-6932
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02356045 | Medicaid | NY |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F333022 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lpwallmd PC | Past | Accepting new patients | |
| Chemung Medical Services PC | Past | Accepting new patients | |
| Fort Edward Rescue Squad Inc | Past | Accepting new patients | |
| Guthrie Medical Group, P.C. | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Internal Medicine Physician
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- NPI 1356378889
-
- Ambulance
- Fort Edward, NY
- NPI 1427031319
-
- Family Medicine Physician
- Troy, PA
- NPI 1376592493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378684800000",
"number": "1700811726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15571 N REEMS RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853749584",
"telephone_number": "623-544-6932",
"fax_number": "623-321-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15571 N REEMS RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853749584",
"telephone_number": "623-544-6932",
"fax_number": "623-321-1070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARMENTER",
"first_name": "SUSAN",
"middle_name": "QUATTRINI",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2013-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F333022",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP4488",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02356045",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.