SUSADA INTHAVONG APRN
NPI 1275770398
Nurse Practitioner in South Windsor, CT
About Susada Inthavong Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSADA INTHAVONG APRN (NPI 1275770398) is an individual nurse practitioner in South Windsor, Connecticut, licensed in Connecticut (003968) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
(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.
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susada Inthavong Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06074 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH WINDSOR, CT 06074
SOUTH WINDSOR, CT 06074
SOUTH WINDSOR, CT 06074
SOUTH WINDSOR, CT 06074
SOUTH WINDSOR, CT 06074
SOUTH WINDSOR, CT 06074
SOUTH WINDSOR, CT 06074
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 Susada Inthavong's NPI number?
The NPI number for Susada Inthavong is 1275770398. It was assigned to this individual provider in the NPPES registry on January 12, 2009.
Where is Susada Inthavong located?
Susada Inthavong practices at 1504 Sullivan Ave, South Windsor, CT 06074. The listed phone number is (860) 644-1523.
What is Susada Inthavong's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Susada Inthavong enrolled in Medicare?
Yes. Susada Inthavong is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Susada Inthavong was last updated on January 12, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.
