Active NPI
Carol Susan Ribner, MD
- Family Medicine Physician
- Jefferson, NH
National Provider Identifier
1740475490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- NH5950
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80000055 | Medicaid | NH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| NH5950 | NH | MD | Addiction Medicine (Family Medicine) Physician |
| VT0420007200 | VT | MD | Addiction 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.