SUSAN L DUBUC (NPI# 1144341140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144341140 |
| Entity Type | Individual |
| Full Name | SUSAN L DUBUC |
| Credential | APRN |
| Practice Address |
1261 Furnace Brook Pkwy Ste 31 Quincy MA 02169-4762 |
| Mailing Address |
819 County St Apt 64c Taunton MA 02780-3766 |
| Practice Telephone | 6174794545 |
| Practice Fax Number | 6174794555 |
| Mailing Telephone | 5088289655 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
234537 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1261 FURNACE BROOK PKWY STE 31 |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-4762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861583015 | Robert Henry Baseman | Registered Nurse | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4762 | 2006-09-27 |
| 1184241671 | John Thomas Livick-moses | Social Worker | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4768 | 2020-06-30 |
| 1467011841 | Debra Labar Rhines | Social Worker | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4787 | 2019-06-10 |
| 1043747066 | Nicole Marie Warner | Nurse Practitioner | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4787 | 2017-05-22 |
| 1811344187 | Theresa Fernandes | Social Worker | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169 | 2016-05-17 |
| 1003291121 | Meghan Blair | Nurse Practitioner | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4787 | 2015-07-30 |
| 1720499536 | Dinna Khoy | Nurse Practitioner | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4768 | 2014-05-14 |
| 1902061153 | Kimberly A Buffam | Nurse Practitioner | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4768 | 2008-07-26 |
| 1215153952 | Anne Modena | Social Worker | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4787 | 2007-04-18 |
| 1689764987 | Lucille Ann Mcgourty | Counselor | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4762 | 2006-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104093806 | Judith Toby Israel | Clinical Nurse Specialist | 234 Copeland St Fl 3, Mass Bay Counseling, Quincy, MA 02169-4005 | 2008-05-12 |
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| 1184269201 | David John Becker | Clinical Nurse Specialist | 110 Stuart St Unit 18h, Boston, MA 02116-5668 | 2019-11-13 |
| 1770131252 | Advanced Psychiatric Services LLC | Clinical Nurse Specialist | 1 Union Pl Ste 101, Dedham, MA 02026-4437 | 2019-08-28 |
| 1235691304 | Laurie Zelas Private Practice LLC | Clinical Nurse Specialist | 2 Summer St Ste 16, Natick, MA 01760-4529 | 2019-04-05 |
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| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1548706831 | Mary Foley | Clinical Nurse Specialist | 5 Bristol Dr Ste 1b, South Easton, MA 02375-1917 | 2017-01-11 |
| 1407172588 | Kjersten Johnsen | Clinical Nurse Specialist | 290 Pleasant St, 102, Watertown, MA 02472-2427 | 2010-04-14 |
| 1366691446 | Beverley Scannell | Clinical Nurse Specialist | 139 Mechanic St, Suite 2, Bellingham, MA 02019-1690 | 2008-09-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.