SUSAN GREENBERG (NPI# 1003122466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003122466 |
Entity Type | Individual |
Full Name | SUSAN GREENBERG |
Other Name | SUSAN BLACKMUN |
Credential | GNP, RN |
Practice Address |
500 Petaluma Ave Sebastopol CA 95472-4216 |
Mailing Address |
500 Petaluma Avenue Sebastopol CA 95472 |
Practice Telephone | 7073261500 |
Mailing Telephone | 7073261500 |
Enumeration Date | 2010-08-24 |
Last Update Date | 2011-03-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WG0600X |
Registered Nurse Specialization: Gerontology |
328095 | CA | Nursing Service Providers |
N | 163WH1000X |
Registered Nurse Specialization: Hospice |
328095 | CA | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275772816 | Susan Greenberg | Occupational Therapist | 12 Melba St, Staten Island, NY 10314-5335 | 2009-02-04 |
1043218530 | Susan Nancy Greenberg | Physical Therapist | 629 Fifth Ave, Pelham, NY 10803 | 2005-07-08 |
1932450806 | Susan Greenberg | Nurse Practitioner | 5225 Wisconsin Ave Nw, Suite 402, Washington, DC 20015-2014 | 2012-10-02 |
1851567366 | Susan Melissa Greenberg | Social Worker | 153 Main Street, Suite G, Mount Kisco, NY 10549 | 2008-05-05 |
1255479549 | Susan R Greenberg | Nurse Practitioner | 459 Broadway, Cambridge, MA 02138-4125 | 2007-02-01 |
1477533172 | Susan Nancy Greenberg | Internal Medicine | 39 Sycamore Ave, Little Silver, NJ 07739-1208 | 2006-01-19 |
1376527747 | Susan Greenberg | Optometrist | 1 Hatfield Ln, Ste 3 Eye Physicians of Orange County PC, Goshen, NY 10924-6752 | 2005-11-30 |
1639167182 | Susan Greenberg | Social Worker | 1601 N Palm Ave, Ste 303, Pembroke Pines, FL 33026-3200 | 2005-10-10 |
Street Address |
500 PETALUMA AVE |
City | SEBASTOPOL |
State | CA |
Zip Code | 95472-4216 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558916791 | Mellisa Nicole Elrod | Occupational Therapist | 1935 Gravenstein Hwy, Sebastopol, CA 95472 | 2019-08-05 |
1457820987 | Isabel Brooke Martinez | Acupuncturist | 961 Gravenstein Hwy South, # 100, Sebastopol, CA 95472 | 2018-11-14 |
1275025470 | Shahbano Syeda | Specialist/Technologist | 846/848 Gravenstein Hwy South, Sebastopol, CA 95472 | 2018-06-04 |
1467990812 | Mathew Metzgar | Marriage & Family Therapist | 1800 N. Gravenstein Hwy, Sebastopol, CA 95472 | 2017-02-06 |
1760939318 | Andrea Kirk | Psychologist | 876 Gravenstein Hwy S., Suite 6, Sebastopol, CA 95472 | 2016-09-01 |
1548629371 | Stacy Simons | Massage Therapist | 103 Morris St Ste V, Sebastopol, CA 95472 | 2016-02-22 |
1619341880 | Carol Schmid | Counselor | 1800 N, Gravenstein Hwy, Sebastopol, CA 95472 | 2015-11-25 |
1801273727 | Aaron Martinez | Specialist/Technologist | 7441 Witter Road, Sebastopol, CA 95472 | 2015-04-29 |
1699167049 | Nia Kaye | Marriage & Family Therapist | 130 Petaluma Ave Ste 2c, Sebastopol, CA 95472 | 2015-02-23 |
1497091383 | Caitlin Marie Kirkman | Midwife | 5611 Hessel Ave, Sebastopol, CA 95472 | 2012-12-20 |
Find all providers in zip 95472 |
Taxonomy Code | 163WG0600X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669032918 | Lorna Logan | Registered Nurse | 1135 Family Tree, Irvine, CA 92618-1073 | 2019-06-19 |
1326606088 | Florie Kuperman | Registered Nurse | 2770 Sierra Ladera Ln, Chico, CA 95928-8412 | 2019-05-29 |
1619451291 | Melanie Daganasol Alvarado | Registered Nurse | 8325 Santa Arminta Ave, San Diego, CA 92126-1236 | 2018-09-20 |
1700398278 | Sheryl Leomo Flores | Registered Nurse | 1878 Fargo Ln Unit 4, Chula Vista, CA 91913-4675 | 2017-10-24 |
1417312406 | Mina Park | Registered Nurse | 8650 Belford Ave Apt 225, Los Angeles, CA 90045-4553 | 2015-12-18 |
1891169355 | Rose Mccarthy | Registered Nurse | 16 Angelica Ct, San Rafael, CA 94901-1327 | 2015-11-20 |
1023437415 | Rachel O Oksun | Registered Nurse | 14627 Gledhill St, # 9, Panorama City, CA 91402-1284 | 2014-04-14 |
1346599057 | Affordable Healthcare Inc | Registered Nurse | 1645 Anaheim St., Harbor City, CA 90710-3213 | 2012-09-10 |
1164780649 | Edwina Api Casanada | Registered Nurse | 8540 Capricorn Way Unit 72, San Diego, CA 92126-7804 | 2012-05-02 |
1922329838 | Noemi Lazaga | Registered Nurse | 297 S Siena St, San Diego, CA 92114-7266 | 2010-06-15 |
Find all providers with the same taxonomy |
City | SEBASTOPOL |
Zip Code | 95472 |
Please comment or provide details below to improve the information on SUSAN GREENBERG.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.