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).
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 |
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 |
Street Address |
25 RIDGEWOOD RD |
City | SPRINGFIELD |
State | VT |
Zip Code | 05156 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 05156 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 05156 |
Please comment or provide details below to improve the information on SUSAN PRISCILLA LAX.
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.