Susan Barnett
Individual provider Active NPI Licensed Practical Nurse · Ridge, NY
NPI 1982803029 · NPPES record last updated Jul 17, 2007
Key facts
- NPI
- 1982803029
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 217249 (NY)
- Practice address
- 54 Corchaug TRL
Ridge, NY 11961-2227 - Phone
- (631) 929-7229
- NPI assigned
- Jul 17, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217249 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 217249 | NY | Yes |
Addresses
Primary practice location
54 Corchaug TRL
Ridge, NY 11961-2227
Mailing address
54 Corchaug TRL
Ridge, NY 11961-2227
Phone (631) 929-7229
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01906505 | Medicaid | NY |
Other providers in Ridge, NY
- Sylvia Andreatto
- Moises Angustia
- Maureen Arma
- Audiology by the Sound PLLC
- Auiio Production LLC
- Christine Bartling
- James Barton
- Frances Battaglia
- Samantha Begai
- Better Solutions, Mental Health Counseling
All providers in Ridge, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.