Suzie Carrasquillo

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

292495 Issued in NY

Practice address

99 Redwood Dr
Bristol, CT 06010-2417

Phone

(860) 874-6001

NPI assigned

Apr 23, 2010

Last updated

Mar 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Suzie Lacombe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1871810309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 DERBY DR",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302746717",
            "telephone_number": "845-480-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 REDWOOD DR",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060102417",
            "telephone_number": "860-874-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 Derby Dr",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302746717",
            "country_code": "US",
            "telephone_number": "845-480-9555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRASQUILLO",
        "first_name": "SUZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CT",
            "license": "44017",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "292495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZIE",
            "last_name": "LACOMBE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gus Campos, PHARMD
• Jennifer Carbone
• Cardiology Assoc of Bristol PC
• Ruthliann Carmona, LMSW
• Kristin Carpino
• Christopher Carriere, ATC/L, CSCS
• Olivia A Casimir, PA-C
• Catholic Charities, Inc. - Archdiocese of Hartford
• Jon Caturia
• Rebecca Rose Cavallo, LCSW

• Licensed Practical Nurse in Bristol, CT
• Providers in Bristol, CT by specialty
• Licensed Practical Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.