Suzanne O'Brien

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

543411-1 Issued in NY

Practice address

18 Myrtle Ave
Pine Plains, NY 12567-5610

Phone

(845) 337-0389

NPI assigned

Feb 5, 2015

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 5, 2015.

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1760873277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MYRTLE AVE",
            "city": "PINE PLAINS",
            "state": "NY",
            "postal_code": "125675610",
            "telephone_number": "845-337-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MYRTLE AVE",
            "city": "PINE PLAINS",
            "state": "NY",
            "postal_code": "125675610",
            "telephone_number": "845-337-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "SUZANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "543411-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Melville, MHC-LP
• Lisa M Michetti, LCSW
• Marcella Mirto
• Montrose Vamc
• Joyce S. Morse, FNP
• Sophia Osofsky
• Pine Plains Central School District
• Pine Plains Pharmacy Inc
• Pine Plains Pharmacy Inc
• Salvatore J Puca, RPH

• All providers in Pine Plains, NY
• Community Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.