SUSAN KURIAKOSE NP
NPI 1114009776
Nurse Practitioner in Jamaica Plain, MA

Q: What is Susan Kuriakose's NPI number?

The NPI number for Susan Kuriakose is 1114009776. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Q: What is Susan Kuriakose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Kuriakose was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 20, 2006

545A CENTRE ST, JAMAICA PLAIN, MA 02130(617) 522-5464(617) 524-2966 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Susan Kuriakose Np NPPES

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

SUSAN KURIAKOSE NP (NPI 1114009776) is an individual nurse practitioner in Jamaica Plain, Massachusetts, licensed in Massachusetts (18055) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1114009776

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSUSAN KURIAKOSECredential: NP

Location Address545A CENTRE STJamaica Plain, MA 02130

Mailing Address545a Centre StJamaica Plain, MA 02130 · (617) 522-5464 · Fax (617) 524-2966

Phone(617) 522-5464

Fax(617) 524-2966

Sole ProprietorNo

Enumeration DateOctober 20, 2006

Last NPPES UpdateMay 14, 2008

✔ NPI 1114009776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MA · 18055

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

545A CENTRE ST, Jamaica Plain, MA 02130

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Other Identifiers 3

Medicaid0342980MA

Medicare PINNP1342MA

Medicare UPINS62554MA

Other Providers at the Same Location NPPES 19

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

FADI BADLISSI M.D.

Internal Medicine (Rheumatology)