Active NPI
Suzanne Halsey, N.P.
- Adult Health Nurse Practitioner
- Weymouth, MA
National Provider Identifier
1790753846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 125930
- Practice address
- 163 Libbey Pkwy
Suite 301
Weymouth, MA 02189-3118 - Phone
- (781) 337-4224
- Fax
- (781) 335-0429
- NPI assigned
- Mar 14, 2006
- Last updated
- Feb 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 125930 | MA | Primary |
Addresses
Primary practice location
163 Libbey Pkwy
Suite 301
Weymouth, MA 02189-3118
Mailing address
163 Libbey Pkwy
Suite 301
Weymouth, MA 02189-3118
Phone (781) 337-4224
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP4993 | Other | MA | BCBS OF MA |
| 0702498 | Medicaid | MA | |
| 86218 | Other | MA | HEALTHY START |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125930 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Anesthesia Associates, Inc | Past | Accepting new patients | |
| Bridgewater Pediatrics LLC | Past | Accepting new patients | |
| Good Samaritan Medical Practice Corp | Past | Accepting new patients | |
| Temple Medical Practice, P.C | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Bridgewater, MA
- NPI 1255579975
-
- Specialist
- Brockton, MA
- NPI 1285625137
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1215066394
-
- Family Medicine Physician
- Stoughton, MA
- NPI 1700935442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1790753846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 LIBBEY PKWY",
"address_2": "SUITE 301",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021893118",
"telephone_number": "781-337-4224",
"fax_number": "781-335-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 LIBBEY PKWY",
"address_2": "SUITE 301",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021893118",
"telephone_number": "781-337-4224",
"fax_number": "781-335-0429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALSEY",
"first_name": "SUZANNE",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "125930",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MA",
"identifier": "NP4993",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0702498",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY START",
"identifier": "86218",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.