Susan K Everette, RN, MSN, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

102036 Issued in NC

Practice address

4008 Capital Drive
Rocky Mount, NC 27804-3123

Phone

(252) 937-5003

Fax

(252) 937-3020

NPI assigned

Aug 31, 2006

Last updated

Jan 8, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Brody School of Medicine at East Carolina University, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Park Plastic Surgery PAGroup PAC ID 3173599545, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Park Plastic Surgery, P.a.

  • Specialist
  • Rocky Mount, NC
  • NPI 1265533806
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1730291923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 CAPITAL DRIVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043123",
            "telephone_number": "252-937-5003",
            "fax_number": "252-937-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 CAPITAL DRIVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043123",
            "telephone_number": "252-937-5003",
            "fax_number": "252-937-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETTE",
        "first_name": "SUSAN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "102036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene C Davenport (Davenport Family Care Home)
• Eunice Home
• Hans R Eustache
• Everest Long Term Care, LLC (Hunter Hills Nursing and Rehabilitation Center)
• Everest Long Term Care, LLC (Hunter Hills Nursing and Rehabilitation Center)
• Evergreen Road Facility
• Every Voice, PLLC
• Exceeding Limitations Inc
• Exigin Behavioral Health LLC
• Keshawna Exum

• Nurse Practitioner in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.