Individual provider Active NPI

Susan S. Labarthe, M.D.

  • Internal Medicine Physician
  • Morrisville, VT
National Provider Identifier
1992898266
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042.0009864 Issued in VT
Practice address
609 Washington Hwy
Morrisville, VT 05661-8652
Phone
(802) 888-5639
Fax
(802) 888-6040
NPI assigned
Oct 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10905 NH
Internal Medicine Physician 207R00000X 042.0009864 VT Primary

Addresses

Primary practice location

609 Washington Hwy
Morrisville, VT 05661-8652

Mailing address

PO Box 749
Morrisville, VT 05661-0749
Phone (802) 851-8619

Other practice location 1

1878 Mountain Rd
Stowe, VT 05672-4776
Phone (802) 253-4853

Other identifiers 5

IdentifierTypeStateIssuer
6708491MedicaidVT
OVN2317MedicaidVT
11821OtherVTMVP
03094351OtherVTCIGNA
48094OtherVTBLUE CROSS

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10905NHMDInternal Medicine Physician
042.0009864VTMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1992898266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056610749",
            "telephone_number": "802-851-8619",
            "fax_number": "802-851-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 WASHINGTON HWY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618652",
            "telephone_number": "802-888-5639",
            "fax_number": "802-888-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1878 Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Stowe",
            "state": "VT",
            "postal_code": "056724776",
            "country_code": "US",
            "telephone_number": "802-253-4853",
            "fax_number": "802-888-1759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABARTHE",
        "first_name": "SUSAN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-01",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "10905",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042.0009864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6708491",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN2317",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "11821",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "03094351",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "48094",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.