SUSAN MARIE CONVERSE FNP NPI 1679702336

NPI Information

  • NPI: 1679702336
  • Provider Name: SUSAN MARIE CONVERSE, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1065 JAMES ST
    SYRACUSE, NY
    ZIP 13203
  • Phone: (518) 949-8608

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NPI Details

Susan Marie Converse, FNP is a family nurse practitioner in Syracuse, NY. Susan Marie Converse, FNP NPI is 1679702336. 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:

1065 JAMES ST
SYRACUSE, NY
ZIP 13203-787
Phone: (518) 949-8608

The NPI 1679702336 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 7/2/2009 and was last updated on 7/21/2025.

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
1163W00000XRegistered Nurse424639NEW YORKNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health401857NEW YORKNo
3363LF0000XNurse PractitionerFamily335925NEW YORKYes

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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