Active NPI
Susan Lantz Fore, ITFS
- Developmental Therapist
- Pinehurst, NC
National Provider Identifier
1932221579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 10 Parker LN
Pinehurst, NC 28374-7903 - Phone
- (910) 295-3133
- NPI assigned
- Apr 4, 2007
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
10 Parker LN
Pinehurst, NC 28374-7903
Mailing address
23703 Gillis Rd
Laurel Hill, NC 28351-9227
Phone (910) 277-1273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3403400 | Medicaid | NC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1932221579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23703 GILLIS RD",
"city": "LAUREL HILL",
"state": "NC",
"postal_code": "283519227",
"telephone_number": "910-277-1273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PARKER LN",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283747903",
"telephone_number": "910-295-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORE",
"first_name": "SUSAN",
"middle_name": "LANTZ",
"name_prefix": "Mrs.",
"credential": "ITFS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3403400",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.