SUSAN PRISCILLA LAX


Address: 25 Ridgewood Rd, Springfield, VT 05156
Phone: 8028852151

SUSAN PRISCILLA LAX (NPI# 1245453398) 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) 1245453398
Entity Type Individual
Full Name SUSAN PRISCILLA LAX
Credential APRN, BC
Practice Address 25 Ridgewood Rd
Springfield
VT 05156
Mailing Address 10 River Front Dr
Bellows Falls
VT 05101-3040
Practice Telephone 8028852151
Mailing Telephone 6173725784
Enumeration Date 2007-04-10
Last Update Date 2018-05-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
026.0135023 VT Nursing Service Providers
N 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
255146 MA Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RN255146 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 25 RIDGEWOOD RD
City SPRINGFIELD
State VT
Zip Code 05156

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811983307 Rachel Spengler Physician Assistant 25 Ridgewood Rd, Springfield, VT 05156-3050 2005-09-21
1588278865 Connor Richard Kelley Pharmacist 25 Ridgewood Rd, Springfield, VT 05156-3057 2020-09-03
1992317754 Amanda M Lamkins Pharmacist 25 Ridgewood Rd, Springfield, VT 05156-3050 2020-08-21
1417597394 Katie Marie Phillips Physical Therapist 25 Ridgewood Rd, Springfield, VT 05156-3050 2020-01-08
1790332922 Aman Preet Saini Pharmacist 25 Ridgewood Rd, Springfield, VT 05156-3050 2019-08-22
1275003980 Caroline Kirkpatrick Pharmacist 25 Ridgewood Rd, Springfield, VT 05156-3050 2018-11-26
1386158913 Douglas Vansickle Nurse Practitioner 25 Ridgewood Rd, Springfield, VT 05156-3050 2017-11-17
1851816961 Lila Ann Menzi Nurse Practitioner 25 Ridgewood Rd, Springfield, VT 05156-3057 2017-08-09
1003261439 Jeremy Mcwhorter Physician Assistant 25 Ridgewood Rd, Springfield, VT 05156-3050 2016-05-04
1841674801 Michael Thomas Smith Pharmacist 25 Ridgewood Rd, Springfield, VT 05156-3050 2015-07-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790282580 Meghan Elizabeth Thomas Specialist/Technologist 6 Lincoln St, Springfield, VT 05156 2018-04-09
1578070561 Claudia Franc Williams Nurse Practitioner Springfield Medical Care Systems, Inc. 25 Ridgewood Rd, Springfield, VT 05156 2017-12-29
1528443405 Dan Ciobanu Dentist 700 Charlestown Rd., Springfield, VT 05156 2015-07-21
1871869479 L & M Family Care Givers Inc Home Health 365 Summer Street, Suite 204b, Springfield, VT 05156 2012-03-28
1811200710 Jessica Anne White Physician Assistant 25 Ridgewood Rd., Esne, Springfield, VT 05156 2010-07-20
1417126889 Richard A. Lane Md PC Ophthalmology 441 River Street, Springfield, VT 05156 2008-02-29
1780700609 James Rizzo Chiropractor 160 Wall Street, Springfield, VT 05156 2007-03-22
1023186202 Theodore Bennett Robbins Psychiatry & Neurology 197 Union Street, Springfield, VT 05156 2006-12-04
1225103534 Katherine M Duhamel Counselor 107 Park Street, Springfield, VT 05156 2006-11-21
1306911615 Meghen Anne Clancy Clinical Nurse Specialist Health Care and Rehabilitation Center, 107 Park St, Springfield, VT 05156 2006-11-21
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982217873 Ifeoma E Iherobiem Nurse Practitioner 884 S Springfield Ave Apt 18, Springfield, NJ 07081-3320 2020-08-28
1477178978 Eric Avent Nurse Practitioner 111 5th Ave W Ste 103, Springfield, TN 37172-2428 2020-06-10
1043722770 Mary Catherine Knutson Nurse Practitioner 1201 S 4th St, Springfield, IL 62703-2228 2017-11-03
1922422617 Azuka Ofodike Nurse Practitioner 31 Tooker Pl, Springfield, NJ 07081-2227 2014-02-14
1306117189 Mark Anthony Lynch Nurse Practitioner 7108 Neuman St, Springfield, VA 22150-4419 2012-01-25
1609100973 Cindy Michael Nurse Practitioner 841 E Northern Ave, Springfield, OH 45503-3848 2009-09-18
1811097058 Jain A Lattes Nurse Practitioner 3300 Main St Fl 4, Springfield, MA 01107-1112 2006-09-25
1174540504 Johnson Komolafe Nurse Practitioner 7011 Calamo St, #105, Springfield, VA 22150 2006-07-15
1083648604 Dawn M Vanderhoef Nurse Practitioner 713 Cheatham St, Springfield, TN 37172-2828 2006-07-10
1316992019 Ruben Montanez Nurse Practitioner 1695 Main St Fl 400, Springfield, MA 01103-1063 2006-05-23
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Competitor

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City SPRINGFIELD
Zip Code 05156

Improve Information

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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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