SUSAN GATELEY (NPI# 1083684740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083684740 |
| Entity Type | Individual |
| Full Name | SUSAN GATELEY |
| Credential | A.P.N. |
| Practice Address |
601 W Mckennon St Clarksville AR 72830-3523 |
| Mailing Address |
Po Box 668 Clarksville AR 72830-0668 |
| Practice Telephone | 4797548384 |
| Practice Fax Number | 4797547141 |
| Mailing Telephone | 4797548384 |
| Mailing Fax Number | 4797547141 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2011-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
A01730 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | PALMETTO GBA | 0790780001 | 01 |
| AR | 150985758 | 05 | |
| AR | UMWA H&R FUNDS | 0062731 | 01 |
| AR | HEALTH LINK | 435205 | 01 |
| AR | HEALTH PLUS OF MICHIGAN | XX12984 | 01 |
| AR | BLACK LUNG PROGRAM | 020407900 | 01 |
| AR | BLUE CROSS BLUE SHIELD AR | 5U698 | 01 |
| Street Address |
601 W MCKENNON ST |
| City | CLARKSVILLE |
| State | AR |
| Zip Code | 72830-3523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253810 | Clarksville Medical Group, P.a. | Family Medicine | 601 W Mckennon St, Clarksville, AR 72830-3523 | 2005-05-31 |
| 1093254294 | Catherine Stephanie Miranda | Nurse Practitioner | 601 W Mckennon St, Clarksville, AR 72830-3523 | 2017-02-21 |
| 1508918467 | Clarksville Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 601 W Mckennon St, Clarksville, AR 72830-3523 | 2007-01-18 |
| 1417009374 | Clarksville Medical Group, P.a. | Clinical Medical Laboratory | 601 W Mckennon St, Clarksville, AR 72830-3523 | 2007-01-18 |
| 1578663696 | Sarah M Woodruff | Family Medicine | 601 W Mckennon St, Clarksville, AR 72830-3523 | 2006-09-25 |
| 1164482162 | James Brian Cotner | Family Medicine | 601 W Mckennon St, Clarksville, AR 72830-3523 | 2006-03-24 |
| 1487624896 | John C Dunham | Family Medicine | 601 W Mckennon St, Clarksville, AR 72830-3523 | 2006-01-26 |
| 1174593446 | Mary Janell Burch | Family Medicine | 601 W Mckennon St, Clarksville, AR 72830-3523 | 2006-01-26 |
| 1245200971 | Kim Graves | Family Medicine | 601 W Mckennon St, Clarksville, AR 72830-3523 | 2006-01-25 |
| 1770553448 | Lindsey J Prewitt | Internal Medicine | 601 W Mckennon St, Clarksville, AR 72830-3523 | 2006-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
| 1083186431 | Kayla Chinchilla | Counselor | 106 Cherokee Lane, Clarksville, AR 72830 | 2018-12-26 |
| 1669995619 | Karla D Snow | Case Manager/Care Coordinator | 718 Brown Street, Clarksville, AR 72830 | 2017-07-21 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1275882060 | Shay Morgan | Dietitian, Registered | 1100 East Poplar Street, Clarksville, AR 72830 | 2012-09-07 |
| 1518111566 | Melisa Leann Traylor | Case Manager/Care Coordinator | 522 Mill Road, Clarksville, AR 72830 | 2008-11-04 |
| 1669635280 | Family Foot Clinic | Podiatrist | 203 Sevier St, Clarksville, AR 72830 | 2008-07-03 |
| 1891969721 | Scott Lee Landis | Counselor | 522 Mills Rd., Clarksville, Ar, AR 72830 | 2008-04-22 |
| 1437364684 | Snider Family Chiropractic Clinic | Chiropractor | 1012 Poplar St., Clarksville, AR 72830 | 2007-05-11 |
| 1376765917 | Jones Speech Therapy | Speech-Language Pathologist | 1312 North Harmony Road, Clarksville, AR 72830 | 2007-05-03 |
| Find all providers in zip 72830 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699315531 | Kochurani Jacob Thomas | Nurse Practitioner | 517 Little League Blvd, Clarksville, IN 47129-6629 | 2020-01-08 |
| 1982194007 | Zoe F Lowery | Nurse Practitioner | 230 Dover Rd, Clarksville, TN 37042-4183 | 2018-05-14 |
| 1164947743 | Alicia Sawyer | Nurse Practitioner | 2205 Greentree N, Clarksville, IN 47129-8957 | 2017-08-04 |
| 1679022545 | Katie Johnson | Nurse Practitioner | 776 Weatherly Dr, Ste A, Clarksville, TN 37043-8941 | 2016-10-03 |
| 1790103752 | Gabriele Roberts | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2014-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611361 | Jamie L Cagle | Nurse Practitioner | 1500 Dodson Ave # 60, Fort Smith, AR 72901-5182 | 2020-02-21 |
| 1306489281 | Lawana Bradley | Nurse Practitioner | 296 Lake Rd, Atkins, AR 72823-7165 | 2019-10-23 |
| 1679116024 | Michelle Grant | Nurse Practitioner | 130 Mark Cir, Monticello, AR 71655-5617 | 2019-10-17 |
| 1780238782 | Chelsea D. Marquis | Nurse Practitioner | 4401 Sw Flagstone Blvd, Bentonville, AR 72713-4005 | 2019-07-29 |
| 1265094478 | Kristyn Clark | Nurse Practitioner | 210 S Thompson St, Springdale, AR 72764-4239 | 2019-07-08 |
| 1184194029 | Stephanie Lucille Converse | Nurse Practitioner | 326 Lee Rd # 601, Brickeys, AR 72320-8000 | 2018-12-04 |
| 1174026165 | Phoebe Grace Chandler | Nurse Practitioner | 3782 Solitude St, Springdale, AR 72764-6368 | 2018-03-15 |
| 1386143717 | Andrew Freeman Oliver | Nurse Practitioner | 650 United Dr Ste 200, Conway, AR 72032-7001 | 2018-02-12 |
| 1760908982 | Jamie Leigh Ferguson | Nurse Practitioner | 4301 W Markham St # 721-3, Little Rock, AR 72205-7101 | 2017-08-18 |
| 1336677731 | Robert Lee Mcgruder Jr. | Nurse Practitioner | 2308 Royal Ct Unit B, Bryant, AR 72022-4216 | 2017-05-30 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 72830 |
Please comment or provide details below to improve the information on SUSAN GATELEY.
| 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.