SUSAN KATHERYN DEMICCO CRNA
NPI 1790706257
Nurse Anesthetist, Certified Registered in Milford, CT

Q: What is Susan Demicco's NPI number?

The NPI number for Susan Demicco is 1790706257. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Q: What is Susan Demicco's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Demicco was last updated on February 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 July 21, 2006

831 BOSTON POST RD, STE. 670, MILFORD, CT 06460(203) 783-1831 Get Directions Write a Review

NPPES record last updated: February 22, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Susan Katheryn Demicco Crna NPPES

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

SUSAN KATHERYN DEMICCO CRNA (NPI 1790706257) is an individual nurse anesthetist, certified registered in Milford, Connecticut, licensed in Rhode Island (RNA21303) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1790706257

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameSUSAN KATHERYN DEMICCOCredential: CRNA

Location Address831 BOSTON POST RD, STE. 670Milford, CT 06460-3536

Mailing Address831 Boston Post Rd, Ste. 670Milford, CT 06460-3536 · (203) 783-1831

Phone(203) 783-1831

Sole ProprietorNo

Enumeration DateJuly 21, 2006

Last NPPES UpdateFebruary 22, 2011

✔ NPI 1790706257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in RI · RNA21303

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

831 BOSTON POST RD, Milford, CT 06460

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Other Identifiers 3

Medicare PINNA118901MA

Medicare PINNA1189MA

Medicare PIN007057147RI

Other Providers at the Same Location NPPES 12

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

KINGLET URGENT CARE PHYSICIANS LLC

Emergency Medicine

831 BOSTON POST RD
MILFORD, CT 06460

South Central Connecticut Planning Region (203) 876-4101

PETER T. NAIMAN MD LLC

Orthopaedic Surgery

831 BOSTON POST RD, SUITE 201
MILFORD, CT 06460

South Central Connecticut Planning Region (203) 877-4206

DR. KEITH LIPSITZ MD

Anesthesiology

831 BOSTON POST RD, SUITE 203
MILFORD, CT 06460

South Central Connecticut Planning Region (203) 783-1831

JILLIAN M KALINCHAK APRN

Nurse Practitioner (Family)

831 BOSTON POST RD
MILFORD, CT 06460

South Central Connecticut Planning Region (203) 283-5200

CONNECTICUT TEAM PHYSICIANS, PC

Emergency Medicine

831 BOSTON POST RD
MILFORD, CT 06460

South Central Connecticut Planning Region (203) 876-4101

CHARLES GUGLIN MD FACS

Surgery

831 BOSTON POST RD, SUITE 202
MILFORD, CT 06460

South Central Connecticut Planning Region (203) 878-6377

JESSIE M. WILLIAMS M.D.

Internal Medicine

831 BOSTON POST RD
MILFORD, CT 06460

South Central Connecticut Planning Region (203) 876-4101

WARDA SHAH

Nurse Practitioner (Family)

831 BOSTON POST RD
MILFORD, CT 06460

South Central Connecticut Planning Region (203) 688-5860

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 Demicco's NPI number?

The NPI number for Susan Demicco is 1790706257. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Susan Demicco located?

Susan Demicco practices at 831 Boston Post Rd Ste. 670, Milford, CT 06460. The listed phone number is (203) 783-1831.

What is Susan Demicco's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Susan Demicco was last updated on February 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.