SUSAN MARIE DIPERT-SCOTT (NPI# 1245299262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245299262 |
| Entity Type | Individual |
| Full Name | SUSAN MARIE DIPERT-SCOTT |
| Other Name | SUSAN MARIE CIPRIANI |
| Credential | FNP |
| Practice Address |
2805 Lyndhurst Ave Winston Salem NC 27103-4109 |
| Mailing Address |
920 2nd Ave S Suite 400 Minneapolis MN 55402-3318 |
| Practice Telephone | 3366590076 |
| Practice Fax Number | 3366590272 |
| Mailing Telephone | 6126597111 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2019-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5004630 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1245299262 | 05 |
| Street Address |
2805 LYNDHURST AVE |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514454 | Stephanie Draker | Nurse Practitioner | 2805 Lyndhurst Ave, Winston Salem, NC 27103-4109 | 2020-10-08 |
| 1558713370 | Eileen Margaret Tague | Nurse Practitioner | 2805 Lyndhurst Ave, Winston Salem, NC 27103-4109 | 2016-07-05 |
| 1225409758 | Nina Hundley | Nurse Practitioner | 2805 Lyndhurst Ave, Winston Salem, NC 27103-4109 | 2015-10-09 |
| 1851730741 | Heather Danielle Maradiaga | Physician Assistant | 2805 Lyndhurst Ave, Winston Salem, NC 27103-4109 | 2013-06-24 |
| 1578842894 | Rachel Marie Courtemanche | Physician Assistant | 2805 Lyndhurst Ave, Winston Salem, NC 27103-4109 | 2011-08-04 |
| 1952634396 | Caroline Golden Grandis | Nurse Practitioner | 2805 Lyndhurst Ave, Winston Salem, NC 27103-4109 | 2009-09-17 |
| 1750342820 | Ardmore Family Practice P.a. | Family Medicine | 2805 Lyndhurst Ave, Winston Salem, NC 27103-4109 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576857 | Candace Allen | Nurse Practitioner | 1215 W Clemmonsville Rd, Winston Salem, NC 27127-4521 | 2020-10-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1427604883 | Jeanette Renea Torain | Nurse Practitioner | 145 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6983 | 2019-08-12 |
| 1841853876 | Sarah Monzella Pack | Nurse Practitioner | 3878 Oxford Station Way Ste A, Winston Salem, NC 27103-1340 | 2019-04-16 |
| 1720547425 | Ya Huster Taylor | Nurse Practitioner | 1005 Treble Ct, Winston Salem, NC 27127-5971 | 2019-03-13 |
| 1710450127 | Assumpta Kagaba | Nurse Practitioner | 3811 White Petals Ct, Winston Salem, NC 27107-6052 | 2019-01-08 |
| 1982189460 | Erica Segers | Nurse Practitioner | 4157 Kennison Village Dr, Winston Salem, NC 27127-6694 | 2018-10-01 |
| 1710433495 | Ikeshia Knight | Nurse Practitioner | 1831 Cahill Dr, Winston Salem, NC 27127-8828 | 2016-08-31 |
| 1487023495 | Porcial Washington Wilson | Nurse Practitioner | 755 Highland Oaks Dr Ste 202, Winston Salem, NC 27103-7106 | 2015-09-20 |
| 1316323124 | Elizabeth Arpe Goodman | Nurse Practitioner | 191 Wallburg High Point Rd, Winston Salem, NC 27107-9835 | 2015-08-04 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on SUSAN MARIE DIPERT-SCOTT.
| 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.