Susan Nadeau

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

4314 Upper Mountain Rd
Sanborn, NY 14132

Phone

(716) 507-5769

NPI assigned

Jun 14, 2012

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1790047769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 UPPER MOUNTAIN RD",
            "city": "SANBORN",
            "state": "NY",
            "postal_code": "14132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 UPPER MOUNTAIN RD",
            "city": "SANBORN",
            "state": "NY",
            "postal_code": "14132",
            "telephone_number": "716-507-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADEAU",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina M McCaffrey, SLP
• Leann Patricia McConchie
• Cynthia Ann McLaughlin, P.T.A,
• Melissa Lynn McQuiggin, LPN
• Laura J. Mikida, C.R.C.
• Nysarc, Inc. Cattaraugus-Niagara County Chapter
• Timothy Dennis O'Connor, RN
• Shannon O'Keeffe, BS, CASAC-T
• Patricia L Pasculle, CASAC
• Joanne E Paxon, CRC

• All providers in Sanborn, NY
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.