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SUSAN SOUTHERTON RN
NPI 1003327875
Registered Nurse - Administrator in Liberty, NY

Active since October 19, 2017
256 SUNSET LAKE RD, LIBERTY, NY 12754(845) 513-2012(845) 513-2177 Get Directions Write a Review

NPPES record last updated: October 19, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Southerton Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN SOUTHERTON RN (NPI 1003327875) is an individual administrator provider in Liberty, New York, licensed in New York (420717-1) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1003327875
Entity TypeIndividualFemale
Primary Taxonomy163WA2000X
Provider Legal NameSUSAN SOUTHERTONCredential: RN
Location Address256 SUNSET LAKE RDLiberty, NY 12754-2847
Mailing Address256 Sunset Lake RdLiberty, NY 12754-2847 · (845) 513-2012 · Fax (845) 513-2177
Phone(845) 513-2012
Fax(845) 513-2177
Sole ProprietorNo
Enumeration DateOctober 19, 2017
✔ NPI 1003327875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License✔ Licensed in NY · 420717-1
256 SUNSET LAKE RD, Liberty, NY 12754
Open in Google Maps ↗

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SENIOR CONNECTIONS PSYCHOLOGICAL SERVICES OF NEW YORK, PC
Psychologist (Clinical)
256 SUNSET LAKE RD
LIBERTY, NY 12754
Sullivan County (832) 448-2800
JENIFER H LAYMON RN
Clinical Nurse Specialist (Long-Term Care)
256 SUNSET LAKE RD
LIBERTY, NY 12754
Sullivan County (845) 513-2012
MRS. DONNA MARIE FUNCHEON RN
Clinical Nurse Specialist (Long-Term Care)
256 SUNSET LAKE RD
LIBERTY, NY 12754
Sullivan County (845) 513-2012
KIMBERLY T NEVES RN
Clinical Nurse Specialist (Long-Term Care)
256 SUNSET LAKE RD
LIBERTY, NY 12754
Sullivan County (845) 513-2012
WENDY COLE-DEAN RN
Clinical Nurse Specialist (Long-Term Care)
256 SUNSET LAKE RD
LIBERTY, NY 12754
Sullivan County (845) 513-2012
MRS. GAIL LUCILLE NISTICO PHYSICAL THERAPY ASS
Physical Therapy Assistant
256 SUNSET LAKE RD, SULLIVAN COUNTY ADULT CARE CENTER
LIBERTY, NY 12754
Sullivan County (845) 292-5910
MARY CASE
Physical Therapy Assistant
256 SUNSET LAKE RD
LIBERTY, NY 12754
Sullivan County (845) 292-8640
MRS. MELISSA ANN FANNING RN
Clinical Nurse Specialist (Long-Term Care)
256 SUNSET LAKE RD
LIBERTY, NY 12754
Sullivan County (845) 513-2012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Southerton's NPI number?

The NPI number for Susan Southerton is 1003327875. It was assigned to this individual provider in the NPPES registry on October 19, 2017.

Where is Susan Southerton located?

Susan Southerton practices at 256 Sunset Lake Rd, Liberty, NY 12754. The listed phone number is (845) 513-2012.

What is Susan Southerton's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Administrator, with taxonomy code 163WA2000X.

When was this NPI record last updated?

The NPPES record for Susan Southerton was last updated on October 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.