SUSAN MARIE PETERS


Address: 139 Orchard Street, New Haven, CT 06519
Phone: 2039467104

SUSAN MARIE PETERS (NPI# 1194842575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194842575
Entity Type Individual
Full Name SUSAN MARIE PETERS
Practice Address 139 Orchard Street
New Haven
CT 06519
Mailing Address 18 Lake St
Hamden
CT 06517-2315
Practice Telephone 2039467104
Mailing Telephone 2032302831
Enumeration Date 2007-03-23
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
001723 CT Physician Assistants & Advanced Practice Nursing Providers

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1790066397 Susan Lurleen Peters Physical Therapist 339 E Jamestown Rd, Greenville, PA 16125-9206 2011-09-09
1437484854 Susan Peters Occupational Therapist 127 Rockingham Rd, Suite 203, Windham, NH 03087-1360 2009-10-04
1194959619 Susan K. Peters Counselor 515 28 3/4 Rd, Grand Junction, CO 81501-5016 2009-05-12
1790803245 Susan A Peters Registered Nurse 3100 Tongass Ave, Ketchikan, AK 99901-5746 2007-03-26

Office Location

Street Address 139 ORCHARD STREET
City NEW HAVEN
State CT
Zip Code 06519

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255819348 Jordan Ficocelli Nurse Practitioner 800 Howard Ave # 2, New Haven, CT 06519 2018-08-01
1780123414 Claire Louise Hardin General Acute Care Hospital 95 Howard Ave, New Haven, CT 06519 2017-02-14
1467809137 Ana Laura Vives-rodriguez Student in an Organized Health Care Education/Training Program 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 2016-05-23
1346607785 Amanda Kayte Corcoran Advanced Practice Midwife 40 Prince St., Suite 207, New Haven, CT 06519 2016-01-15
1720491905 Sara Harcharik Perkins Dermatology 2 Church St S Ste 305, New Haven, CT 06519 2014-06-05
1194136713 Krishan Ratilal Jethwa Radiology 35 Park St Ste Ll507, New Haven, CT 06519 2014-05-16
1235549353 Brandon Michael Kitay Psychiatry & Neurology 184 Liberty St # Lv108, New Haven, CT 06519 2014-04-28
1649526617 Yale New Haven Hospital Student in an Organized Health Care Education/Training Program 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 2012-07-27
1669736765 Mayanka Tickoo Internal Medicine 300 Cedar St Fl 4, New Haven, CT 06519 2012-07-03
1730441627 Judith A Ross Physical Therapist 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 2012-06-15
Find all providers in zip 06519

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174951669 Bela Kirit Dharia Nurse Practitioner 55 Lock Street, Yale Health, New Haven, CT 06511-3603 2013-10-22
1841566775 Leora Hauptman Nurse Practitioner 330 Cedar St # 4093, New Haven, CT 06510-3218 2012-03-26
1790909620 Jayne Foster Linley Nurse Practitioner 102 Nash Street, New Haven, CT 06511 2007-04-12
1922165141 Martha K Swartz Nurse Practitioner 789 Howard Ave., Yale New Haven Hospital Pediatric Primary Care Center, New Haven, CT 06510 2007-01-03
1356416747 Denise Catherine Wagner Nurse Practitioner Yale-new Haven Hospital, 20 York Street, Primary Care Center, New Haven, CT 06510 2006-11-21
1174694798 Nicole Langan Maciejak Nurse Practitioner 35 Davis Street, Sbhc, New Haven, CT 06515-1601 2006-11-13
1033224670 Ivette Becerra Ortiz Nurse Practitioner 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 2006-08-21
1619901535 Earlene Jane Peckham Nurse Practitioner 191 Fountain St, New Haven, CT 06515-1901 2006-07-10
1174510440 Jane Lawrence-riddell Nurse Practitioner 1 Long Wharf Dr, Suite 105, New Haven, CT 06511-5991 2005-10-03
1760477012 Kim Alison Levinson Nurse Practitioner 33 Cedar Street, New Haven, CT 06510 2005-09-13
Find all providers in NEW HAVEN

Competitor

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City NEW HAVEN
Zip Code 06519

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Dataset Information

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.

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