Individual provider Active NPI

Susan R Lord, NP

  • Women's Health Nurse Practitioner
  • Rockland, ME
National Provider Identifier
1891779492
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R-023932 Issued in ME
Practice address
22 White St
Rockland, ME 04841-2978
Phone
(207) 594-3114
Fax
(207) 594-3108
NPI assigned
Dec 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R-023932 ME
Women's Health Nurse Practitioner 363LW0102X R-023932 ME Primary

Addresses

Primary practice location

22 White St
Rockland, ME 04841-2978

Mailing address

PO Box 866
Rockland, ME 04841-0866
Phone (207) 594-3114

Other identifiers 1

IdentifierTypeStateIssuer
286210099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130723000713 ME Practitioner - Nurse Practitioner 4082855713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Planning Association of Maine IncGroup PAC ID 6800037581, 13 clinicians

Practice addresses (Care Compare)

767 Main St
Damariscotta, ME 04543-4740
Phone (207) 563-1224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R-023932MEMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Planning Association of Maine Inc CurrentSince May 1, 2013 Accepting new patients
Nancy J. Oliphant MD PA CurrentSince Sep 5, 2018 Accepting new patients
Family Planning Association of Maine Inc CurrentSince May 1, 2013 Accepting new patients
Boothbay Region Health Care Inc CurrentSince Sep 5, 2018 Accepting new patients

Locations

43 Gabriel Dr
Augusta, ME 04330
Phone (207) 248-3927

185 Townsend Ave
Ste R
Boothbay Hbr, ME 04538
Phone (207) 633-1075

767 Main St
Ste 1B
Damariscotta, ME 04543
Phone (207) 563-1224

22 White St
Rockland, ME 04841
Phone (207) 301-6996

41 Buttermilk Ln
Ste 2
Thomaston, ME 04861
Phone (207) 594-3114

Interoperability endpoints

  • Direct secure messaging: susan.lord@brhci-me.direct.office.nextgen.com
  • Direct secure messaging: susan.lord.1@3508.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1891779492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 866",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048410866",
            "telephone_number": "207-594-3114",
            "fax_number": "207-594-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WHITE ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412978",
            "telephone_number": "207-594-3114",
            "fax_number": "207-594-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORD",
        "first_name": "SUSAN",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "R-023932",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ME",
            "license": "R-023932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286210099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockland, ME

Sources for this page

Verify at the official NPI Registry.