SUSAN PRISCILLA LAX APRN BC NPI 1245453398

NPI Information

  • NPI: 1245453398
  • Provider Name: SUSAN PRISCILLA LAX, APRN, BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 782 MOUNTAIN RD STE D
    STOWE, VT
    ZIP 05672
  • Phone: (617) 372-5784

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NPI Details

Susan Priscilla Lax, APRN, BC is a psychiatric/mental health nurse practitioner in Stowe, VT with 22 years of experience. Susan Priscilla Lax, APRN, BC NPI is 1245453398. 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:

782 MOUNTAIN RD STE D
STOWE, VT
ZIP 05672-629
Phone: (617) 372-5784

The NPI 1245453398 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 4/10/2007 and was last updated on 8/12/2021.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthRN255146MASSACHUSETTSYes
2363LP0808XNurse PractitionerPsychiatric/Mental Health101.0134152VERMONTNo
3163WP0808XRegistered NursePsychiatric/Mental Health026.0135023VERMONTNo
4163WP0809XRegistered NursePsychiatric/Mental Health, Adult255146MASSACHUSETTSNo

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
11033122MEDICAIDVERMONT

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: 11/21/2025

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