SUSAN G TANEY FNP NPI 1174589097

NPI Information

  • NPI: 1174589097
  • Provider Name: SUSAN G TANEY, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 201 EAST MAIN STREET
    CONCORD, VT
    ZIP 05824
  • Phone: (802) 695-2512

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NPI Details

Susan G Taney, FNP is a family nurse practitioner in Concord, VT. Susan G Taney, FNP NPI is 1174589097. 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:

201 EAST MAIN STREET
CONCORD, VT
ZIP 05824-355
Phone: (802) 695-2512
Fax: (802) 695-1303

The NPI 1174589097 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/21/2006 and was last updated on 9/28/2010.

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
1363LF0000XNurse PractitionerFamily101-0020784VERMONTYes

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
1471801MEDICARE OSCAR/CERTIFICATIONVERMONT
2NP0518MEDICARE ID-TYPE UNSPECIFIEDVERMONTVT MEDICARE
30NP0518MEDICAIDVERMONT
4R27238MEDICARE UPINVERMONT

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: 3/30/2025

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