SUSAN GREENBERG


Address: 500 Petaluma Ave, Sebastopol, CA 95472-4216
Phone: 7073261500

SUSAN GREENBERG (NPI# 1003122466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Providers SUSAN GREENBERG

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

Office Location

Street Address 500 PETALUMA AVE
City SEBASTOPOL
State CA
Zip Code 95472-4216

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WG0600X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Gerontology

Taxonomy Definition

Definition to come...

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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
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1922329838 Noemi Lazaga Registered Nurse 297 S Siena St, San Diego, CA 92114-7266 2010-06-15
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Competitor

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City SEBASTOPOL
Zip Code 95472

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Dataset Information

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.

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