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SUSAN ELLEN GAUGHAN NP
NPI 1710990148
Nurse Practitioner in Centerville, MA

Active since August 15, 2006
87 LIAM LANE, CENTERVILLE, MA 02632(508) 420-9726(508) 420-8204 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan Ellen Gaughan Np NPPES

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

SUSAN ELLEN GAUGHAN NP (NPI 1710990148) is an individual nurse practitioner in Centerville, Massachusetts, licensed in Massachusetts (94922) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1710990148
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUSAN ELLEN GAUGHANCredential: NP
Location Address87 LIAM LANECenterville, MA 02632-3354
Mailing Address87 Liam LaneCenterville, MA 02632-3354 · (508) 420-9726 · Fax (508) 420-8204
Phone(508) 420-9726
Fax(508) 420-8204
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1710990148 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 · 94922
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.
87 LIAM LANE, Centerville, MA 02632
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Other Identifiers 3

Medicaid0378241MA
Medicare ID-Type UnspecifiedNP3298
Medicare UPINP33052

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 Gaughan's NPI number?

The NPI number for Susan Gaughan is 1710990148. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Susan Gaughan located?

Susan Gaughan practices at 87 Liam Lane, Centerville, MA 02632. The listed phone number is (508) 420-9726.

What is Susan Gaughan's specialty?

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

When was this NPI record last updated?

The NPPES record for Susan Gaughan was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.