Susan Bailey Amundsen, MSN, RN, APRN, ANPBC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP091008 Issued in ME

Practice address

34 Gilman Rd
Bangor, ME 04401-3516

Phone

(207) 941-8300

NPI assigned

Jul 15, 2009

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2009.

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1851521629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WALTER PARTRIDGE RD",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624860",
            "telephone_number": "207-893-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 GILMAN RD",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013516",
            "telephone_number": "207-941-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUNDSEN",
        "first_name": "SUSAN",
        "middle_name": "BAILEY",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, APRN, ANPBC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ME",
            "license": "AP091008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.