Active NPI
Susan Michele Leighton, NP
- Pediatric Nurse Practitioner
- Duxbury, MA
National Provider Identifier
1730110313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 156389
- Practice address
- 20 Tremont St
Duxbury, MA 02332-5310 - Phone
- (781) 934-0172
- NPI assigned
- Jul 5, 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 156389 | MA | Primary |
Addresses
Primary practice location
20 Tremont St
Duxbury, MA 02332-5310
Mailing address
139 Sandwich St
Plymouth, MA 02360-2449
Phone (781) 934-0172
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP1182 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0018304 | Other | NEIGHBORHOOD HEALTH PLA |
Other names 1
- Susan Michele Davis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Past | Accepting new patients |
Locations
147 Milk St
Boston, MA 02109
Phone (617) 421-2508
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
111 Grossman Dr
Braintree, MA 02184
Phone (781) 849-1000
362 Court St
Plymouth, MA 02360
Phone (508) 746-7543
Interoperability endpoints
- sleightonnp166880@direct.atrius.masshiway.net
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1871639914
-
- Internal Medicine Physician
- Beverly, MA
- NPI 1114265634
-
- Internal Medicine Physician
- Somerville, MA
- NPI 1154535813
-
- Internal Medicine Physician
- Boston, MA
- NPI 1740238526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1730110313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 SANDWICH ST",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602449",
"telephone_number": "781-934-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 TREMONT ST",
"city": "DUXBURY",
"state": "MA",
"postal_code": "023325310",
"telephone_number": "781-934-0172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIGHTON",
"first_name": "SUSAN",
"middle_name": "MICHELE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "156389",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "NP1182",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLA",
"identifier": "0018304",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "DAVIS",
"middle_name": "MICHELE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Duxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.