SUSAN E CUSSON (NPI# 1043367030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043367030 |
| Entity Type | Individual |
| Full Name | SUSAN E CUSSON |
| Credential | APRN |
| Practice Address |
100 Old Billerica Rd Carleton-willard Village Bedford MA 01730-1267 |
| Practice Telephone | 7812758700 |
| Practice Fax Number | 7812761934 |
| Mailing Telephone | 7812758700 |
| Mailing Fax Number | 7812761934 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2015-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN174128 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110076851A | 05 | |
| MA | BCBSMA | NP2935 | 01 |
| Street Address |
100 OLD BILLERICA RD CARLETON-WILLARD VILLAGE |
| City | BEDFORD |
| State | MA |
| Zip Code | 01730-1267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528067394 | Carleton-willard Homes, Inc. | Skilled Nursing Facility | 100 Old Billerica Rd, Bedford, MA 01730-1267 | 2005-07-14 |
| 1134674708 | Emily Robinson | Nurse Practitioner | 100 Old Billerica Rd, Bedford, MA 01730-1267 | 2016-08-23 |
| 1093077232 | Courtney L Betts | Nurse Practitioner | 100 Old Billerica Rd, Bedford, MA 01730-1267 | 2012-06-13 |
| 1639385073 | Carleton Willard Homes, Inc. | Clinic/Center | 100 Old Billerica Rd, Bedford, MA 01730-1267 | 2007-05-15 |
| 1093885014 | Barbara Anne Chenoweth | Nurse Practitioner | 100 Old Billerica Rd, Carleton-willard Village Clinic, Bedford, MA 01730-1267 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134779614 | Access Physical Therapy, LLC | Physical Therapist | 158 Great Rd Unit J, #661, Bedford, MA 01730 | 2019-09-16 |
| 1578113478 | Holly Babineau | Counselor | Building 7, Springs Rd, Bedford, MA 01730 | 2019-09-13 |
| 1205318656 | Ella Bitman | Social Worker | 9 Mudge Way, Bedford, MA 01730 | 2018-09-02 |
| 1578045928 | Abaigeal Doherty | Counselor | 205 Burlington Road, Bedford, MA 01730 | 2018-09-02 |
| 1669950853 | Patriot Urgent Care Professionals, PC | General Practice | 154 Great Road, Bedford, MA 01730 | 2018-07-31 |
| 1609369701 | Katharine Smidt | Psychologist | 61 Springs Rd, Bedford, MA 01730 | 2018-06-13 |
| 1043702053 | Bethel Care International Inc | Home Health Aide | 114 Page Rd, Bedford, MA 01730 | 2018-06-05 |
| 1689187064 | Lori Merlo | Physical Therapist | 6 Paul Revere Road, Bedford, MA 01730 | 2017-11-08 |
| 1093268260 | Patriot Urgent Care Professionals, PC | Clinic/Center | 160 Great Road, Unit 4a, Bedford, MA 01730 | 2016-07-25 |
| 1568839991 | Amy Bonneau | Social Worker | 59 Grenier St, Bldg 1509, Hanscom Afb, MA 01730 | 2015-09-02 |
| Find all providers in zip 01730 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680814 | Heather Jean Dozois | Nurse Practitioner | 80 Palomino Ln Ste 402, Bedford, NH 03110-6447 | 2020-08-19 |
| 1760004337 | Pamela Urick | Nurse Practitioner | 33 Darby Ln, Bedford, NH 03110-4517 | 2020-05-17 |
| 1710513932 | Nirmal Shrestha Deoju | Nurse Practitioner | 2345 Leafy Glen Ct, Bedford, TX 76022-6114 | 2020-03-19 |
| 1639729445 | Erin Lynn Dedman | Nurse Practitioner | 470 Us-421, Bedford, KY 40006 | 2019-09-13 |
| 1013495837 | Stephanie Ann Mason | Nurse Practitioner | 2415 Mitchell Rd Ste C, Bedford, IN 47421-4731 | 2018-08-02 |
| 1386121424 | Sara Elizabeth Kazanowski | Nurse Practitioner | 5 Washington Pl Ste 1a, Bedford, NH 03110-6771 | 2018-07-22 |
| 1144722539 | Leslie Stevens Kipp | Nurse Practitioner | 1305 Airport Fwy Ste 420, Bedford, TX 76021-6605 | 2018-03-01 |
| 1407370216 | Laura L Boulter | Nurse Practitioner | 154 Great Rd, Bedford, MA 01730-2725 | 2017-08-02 |
| 1003339623 | Kathryn Lynn Alto | Nurse Practitioner | 88 Center Rd Ste 250a, Bedford, OH 44146-2711 | 2017-07-25 |
| 1306399811 | Caitlin Wright | Nurse Practitioner | 2512b Q St, Bedford, IN 47421-4928 | 2016-08-01 |
| Find all providers in BEDFORD | ||||
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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.