Active NPIIndividual providerSole proprietor

Dr. Susan Kelly-Weeder, FNP-BC

Nurse Practitioner, Family in Chestnut Hill, Massachusetts

NPI Number1093121766
Practice location
140 Commonwealth Ave, Cushing Hall #420, Chestnut Hill, MA 02467-3800
Fax
—
Last updated
July 2, 2014

Susan Kelly-Weeder is a Nurse Practitioner, Family based in Chestnut Hill, MA. Susan Kelly-Weeder practices in Chestnut Hill, MA and has the professional credentials of FNP-BC. The NPI Number for Susan Kelly-Weeder is 1093121766 and holds a License No. 151039 (MA). The current practice location address for Susan Kelly-Weeder is 140 Commonwealth Ave, Cushing Hall #420, Chestnut Hill, MA 02467-3800 and can be reached out via phone at 617-552-8018.

Provider Profile Details

NPI Number
1093121766
Provider Name
Susan Kelly-Weeder
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
140 Commonwealth Ave, Cushing Hall #420, Chestnut Hill, MA 02467-3800
Phone Number
617-552-8018
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
July 2, 2014
Last Update Date
July 2, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Commonwealth Ave
Cushing Hall #420
Chestnut Hill, MA 02467-3800
Zip
02467-3800
Phone Number
617-552-8018
Chestnut Hill, MA 02467Get directions →

Provider Business Mailing Address Details

Address
140 Commonwealth Ave
Cushing Hall #420
Chestnut Hill, MA 02467-3800
City
Chestnut Hill
State
MA
Zip
02467-3800
Phone Number
617-552-8018

License Information

License Number
151039
License State
MA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Susan Kelly-Weeder, FNP-BC?

The NPI number of Dr. Susan Kelly-Weeder, FNP-BC is 1093121766. It was assigned on July 2, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Susan Kelly-Weeder, FNP-BC?

Dr. Susan Kelly-Weeder, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number 151039.

Where does Dr. Susan Kelly-Weeder, FNP-BC practice?

The practice location is 140 Commonwealth Ave, Cushing Hall #420, Chestnut Hill, MA 02467-3800. The office can be reached at 617-552-8018 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093121766 directly on the NPPES registry website.

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