SUSAN MARIE DIPERT-SCOTT FNP NPI 1245299262

NPI Information

NPI: 1245299262
Provider Name: SUSAN MARIE DIPERT-SCOTT, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2805 LYNDHURST AVE
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 659-0076
Get Directions

Susan Marie Dipert-scott, FNP is a family nurse practitioner in Winston Salem, NC. Susan Marie Dipert-scott, FNP NPI is 1245299262. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2805 LYNDHURST AVE
WINSTON SALEM, NC
ZIP 27103-109
Phone: (336) 659-0076
Fax: (336) 659-0272

The NPI 1245299262 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2006 and was last updated on 7/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	5004630	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1245299262	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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