Active NPI
Susan F Peterson, RRT
- Registered Respiratory Therapist
- North Weymouth, MA
National Provider Identifier
1922178839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 4054
- Practice address
- 61 Broad Reach
T114-B
North Weymouth, MA 02191-2229 - Phone
- (617) 732-6272
- NPI assigned
- Nov 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 4054 | MA | Primary |
Addresses
Primary practice location
61 Broad Reach
T114-B
North Weymouth, MA 02191-2229
Mailing address
61 Broadreach
T114-B
North Weymouth, MA 02191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4054 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922178839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 BROADREACH",
"address_2": "T114-B",
"city": "NORTH WEYMOUTH",
"state": "MA",
"postal_code": "02191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 BROAD REACH",
"address_2": "T114-B",
"city": "NORTH WEYMOUTH",
"state": "MA",
"postal_code": "021912229",
"telephone_number": "617-732-6272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "SUSAN",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "RRT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "MA",
"license": "4054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.