Susan Katheryn Demicco, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RNA21303 Issued in RI

Practice address

831 Boston Post Rd
Ste. 670
Milford, CT 06460-3536

Phone

(203) 783-1831

NPI assigned

Jul 21, 2006

Last updated

Feb 22, 2011By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Milford Anesthesia Associates LLC

  • Anesthesiology Physician
  • Milford, CT
  • NPI 1932152097

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Anesthesiology Consultants PC

  • Anesthesiology Physician
  • Savannah, GA
  • NPI 1275521668
  NPD (past)
• Memorial Health Anesthetists

  • Anesthesiology Physician
  • Savannah, GA
  • NPI 1770664617
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1790706257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 BOSTON POST RD",
            "address_2": "STE. 670",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603536",
            "telephone_number": "203-783-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 BOSTON POST RD",
            "address_2": "STE. 670",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603536",
            "telephone_number": "203-783-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMICCO",
        "first_name": "SUSAN",
        "middle_name": "KATHERYN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "RI",
            "license": "RNA21303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rian Degroat, CMA
• Christopher John Deldin, L.M.T
• Ross Stanley Deleonardo Sr., D.D.S.
• Rony G Delva, MSW
• Roberta Delvy, MD
• Tina Depalma, PT
• Ronald Depompeis
• Alexander Deraps, PHARMD
• Christine Elaine Desmond, MD
• Diagnostic Imaging of Milford, PC

• Certified Registered Nurse Anesthetist in Milford, CT
• Providers in Milford, CT by specialty
• Certified Registered Nurse Anesthetist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.