SUSAN CLAYTON BALLOU CPNP
NPI 1588947170
Nurse Practitioner - Pediatrics in Old Greenwich, CT

Active since September 21, 2011
3 HILLCREST PARK RD, OLD GREENWICH, CT 06870(203) 202-7532 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Clayton Ballou Cpnp NPPES

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

SUSAN CLAYTON BALLOU CPNP (NPI 1588947170) is an individual pediatrics provider in Old Greenwich, Connecticut, licensed in Connecticut (004268) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1588947170
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSUSAN CLAYTON BALLOUCredential: CPNP
Location Address3 HILLCREST PARK RDOld Greenwich, CT 06870-1003
Mailing Address3 Hillcrest Park RdOld Greenwich, CT 06870-1003 · (203) 202-7532
Sole ProprietorYes
Enumeration DateSeptember 21, 2011
NPI 1588947170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in CT · 004268
3 HILLCREST PARK RD, Old Greenwich, CT 06870

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 Ballou's NPI number?

The NPI number for Susan Ballou is 1588947170. It was assigned to this individual provider in the NPPES registry on September 21, 2011.

Where is Susan Ballou located?

Susan Ballou practices at 3 Hillcrest Park Rd, Old Greenwich, CT 06870. The listed phone number is (203) 202-7532.

What is Susan Ballou's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Susan Ballou was last updated on September 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.