Active NPI
Susan R Lord, NP
- Women's Health Nurse Practitioner
- Rockland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- R-023932
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286210099 | Medicaid | ME |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| R-023932 | ME | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Planning Association of Maine Inc | Current | Accepting new patients | |
| Nancy J. Oliphant MD PA | Current | Accepting new patients | |
| Family Planning Association of Maine Inc | Current | Accepting new patients | |
| Boothbay Region Health Care Inc | Current | 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
- susan.lord@brhci-me.direct.office.nextgen.com
- susan.lord.1@3508.direct.athenahealth.com
- 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.
-
- Non-Surgical Family Planning Clinic/Center
- Augusta, ME
- NPI 1477768216
-
- Family Medicine Physician
- Boothbay Harbor, ME
- NPI 1487179669
-
- Rural Health Clinic/Center
- Belfast, ME
- NPI 1679816656
-
- Family Medicine Physician
- Boothbay Harbor, ME
- NPI 1326229741
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.