Active NPI
Susan Marie Gurney, FNP
- Family Medicine Physician
- Waterville, ME
National Provider Identifier
1851448823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R027885
- Practice address
- 200 Kennedy Memorial Dr.
Suite 304 Inland Hospital
Waterville, ME 04901 - Phone
- (207) 873-1036
- Fax
- (207) 873-1039
- NPI assigned
- Jan 4, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R027885 | ME | Primary |
Addresses
Primary practice location
200 Kennedy Memorial Dr.
Suite 304 Inland Hospital
Waterville, ME 04901
Mailing address
200 Kennedy Memorial Dr
Waterville, ME 04901-4526
Phone (207) 861-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q02953 | Other | ME | COMMERCIAL |
| 432127699 | Medicaid | ME |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263513600000",
"number": "1851448823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 KENNEDY MEMORIAL DR",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049014526",
"telephone_number": "207-861-3000",
"fax_number": "207-861-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 KENNEDY MEMORIAL DR.",
"address_2": "SUITE 304 INLAND HOSPITAL",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "04901",
"telephone_number": "207-873-1036",
"fax_number": "207-873-1039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURNEY",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2010-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "R027885",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "Q02953",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432127699",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.