Active NPI
Susan J Fichera, APRN
- Nurse Practitioner
- Londonderry, NH
National Provider Identifier
1962513614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 019766-23-03
- Practice address
- 41 Buttrick Rd
Ste 4
Londonderry, NH 03053-3367 - Phone
- (603) 434-9666
- Fax
- (603) 425-2973
- NPI assigned
- Aug 31, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 019766-23-03 | NH | Primary |
Addresses
Primary practice location
41 Buttrick Rd
Ste 4
Londonderry, NH 03053-3367
Mailing address
41 Buttrick Rd
Ste 4
Londonderry, NH 03053-3367
Phone (603) 434-9666
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30344488 | Medicaid | NH | |
| P01156535 | Other | NH | RAILROAD MEDICARE |
| 3081847 | Medicaid | NH |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkland Physician Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Derry, NH
- NPI 1144388737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372032000000",
"number": "1962513614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 BUTTRICK RD",
"address_2": "STE 4",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533367",
"telephone_number": "603-434-9666",
"fax_number": "603-425-2973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 BUTTRICK RD",
"address_2": "STE 4",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533367",
"telephone_number": "603-434-9666",
"fax_number": "603-425-2973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FICHERA",
"first_name": "SUSAN",
"middle_name": "J",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2013-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NH",
"license": "019766-23-03",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30344488",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01156535",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3081847",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Londonderry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.