Susan E. Geetersloh, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP081398 Issued in ME

Practice address

1008 W Main St
Dover Foxcroft, ME 04426-3745

Phone

(207) 564-8710

Fax

(207) 564-8715

NPI assigned

Jun 16, 2006

Last updated

Mar 17, 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

Nurse Practitioner

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.

• Acadia Healthcare, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bangor, ME
  • NPI 1568477297
  NPD (past)
• MRH Corp.

  dba Northern Light Primary Care Dover-Foxcroft

  • Family Medicine Physician
  • Dover Foxcroft, ME
  • NPI 1548382328
  NPD (past)
• Fernow House Calls, PC

  • Internal Medicine Physician
  • Norwalk, CT
  • NPI 1649388786
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1871537100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 W MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044263745",
            "telephone_number": "207-564-8719",
            "fax_number": "207-564-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 W MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044263745",
            "telephone_number": "207-564-8710",
            "fax_number": "207-564-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEETERSLOH",
        "first_name": "SUSAN",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "AP081398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foxcroft Pharmacy, LLC
• Foxcroft Pharmacy, LLC
• David P Frasz, MD
• Tabetha Leanne Ganzel, OD
• Susan E Garrettson, PT
• Judith Ann Gilbert, RN
• Kristen Fowles Goddard, CADC
• Whitney Gould-Cookson, MS, RD, LD
• Matthew Ryan Grant
• Abigail Lyn Green, APRN-CNP

• Family Nurse Practitioner in Dover Foxcroft, ME
• Providers in Dover Foxcroft, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.