MS. SUSAN LEA THIEVON M.S. APRN NPI 1396847075

NPI Information

NPI: 1396847075
Provider Name: MS. SUSAN LEA THIEVON, M.S., APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1823 VT RTE 107
BETHEL, VT
ZIP 05032
Phone: (802) 234-9913
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MS. Susan Lea Thievon, M.S., APRN is a family nurse practitioner in Bethel, VT with 23 years of experience. MS. Susan Lea Thievon, M.S., APRN NPI is 1396847075. 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:

1823 VT RTE 107
BETHEL, VT
ZIP 05032-324
Phone: (802) 234-9913

The NPI 1396847075 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 9/2/2006 and was last updated on 10/17/2022.

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	049495-23	NEW HAMPSHIRE	No
2	363LP2300X	Nurse Practitioner	Primary Care	0494952303	NEW HAMPSHIRE	No
3	363LF0000X	Nurse Practitioner	Family	101.0134836	VERMONT	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	3079327	MEDICAID	NEW HAMPSHIRE
2	30341753	MEDICAID	NEW HAMPSHIRE

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: 5/5/2024

NPI Synchronization or Removal

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