Individual provider Active NPI

Suzan Riggsbee White, D.O.

  • Psychiatry Physician
  • Shelburne, VT
National Provider Identifier
1871808287
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0320112596 Issued in VT
Practice address
928 Falls Rd Ste 1
Shelburne, VT 05482-6213
Phone
(802) 404-5140
Fax
(802) 448-5909
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 261586 MA
Psychiatry Physician 2084P0800X 0320112596 VT Primary

Addresses

Primary practice location

928 Falls Rd Ste 1
Shelburne, VT 05482-6213

Mailing address

5 Tamarack Rd
Charlotte, VT 05445-9629
Phone (413) 212-4143

Other practice location 1

855 Pine St
Burlington, VT 05401-4924
Phone (802) 488-6265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
261586MAMDPsychiatry Physician
0320112596VTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tamarack Integrative Psychiatry PLLC Psychiatry CurrentSince Sep 20, 2022 Accepting new patients

Locations

928 Falls Rd
#1
Shelburne, VT 05482
Phone (802) 404-5140

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1871808287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TAMARACK RD",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054459629",
            "telephone_number": "413-212-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 FALLS RD STE 1",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054826213",
            "telephone_number": "802-404-5140",
            "fax_number": "802-448-5909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 Pine St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054014924",
            "country_code": "US",
            "telephone_number": "802-488-6265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SUZAN",
        "middle_name": "RIGGSBEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "261586",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "0320112596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelburne, VT

Sources for this page

Verify at the official NPI Registry.