Individual provider Active NPI

Carol Susan Ribner, MD

  • Family Medicine Physician
  • Jefferson, NH
National Provider Identifier
1740475490
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NH5950 Issued in NH
Practice address
1780 Presidential Highway
Jefferson, NH 03583-6217
Phone
(603) 586-4482
Fax
(603) 586-4482
NPI assigned
Sep 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NH5950 NH Primary
Family Medicine Physician 207Q00000X VT0420007200 VT
Addiction Medicine (Family Medicine) Physician 207QA0401X NH5950 NH
Addiction Medicine (Family Medicine) Physician 207QA0401X VT0420007200 VT

Addresses

Primary practice location

1780 Presidential Highway
Jefferson, NH 03583-6217

Mailing address

1780 Presidential Highway
Jefferson, NH 03583-6217
Phone (603) 586-4482

Other identifiers 1

IdentifierTypeStateIssuer
80000055MedicaidNH

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NH5950NHMDAddiction Medicine (Family Medicine) Physician
VT0420007200VTMDAddiction Medicine (Family Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1740475490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 PRESIDENTIAL HIGHWAY",
            "city": "JEFFERSON",
            "state": "NH",
            "postal_code": "035836217",
            "telephone_number": "603-586-4482",
            "fax_number": "603-586-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 PRESIDENTIAL HIGHWAY",
            "city": "JEFFERSON",
            "state": "NH",
            "postal_code": "035836217",
            "telephone_number": "603-586-4482",
            "fax_number": "603-586-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBNER",
        "first_name": "CAROL",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "NH5950",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "VT0420007200",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NH",
            "license": "NH5950",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "VT",
            "license": "VT0420007200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80000055",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.