MRS. SUE ELLEN TARDIF (NPI# 1104180850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104180850 |
| Entity Type | Individual |
| Full Name | MRS. SUE ELLEN TARDIF |
| Credential | BSN |
| Practice Address |
1812 Silver Spur Rd Cheyenne WY 82009-1208 |
| Practice Telephone | 3074210396 |
| Mailing Telephone | 3074210396 |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
19148 | WY | Nursing Service Providers |
| N | 163WH1000X |
Registered Nurse Specialization: Hospice |
19148 | WY | Nursing Service Providers |
| Street Address |
1812 SILVER SPUR RD |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82009-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659840841 | King & Associates LLC | Private Vehicle | 2232 Dell Range Blvd 245 #3083 Cheyenne, Cheyenne, WY 82009 | 2018-11-16 |
| 1710495700 | Wyoming Endoscopy Center LLC | Clinic/Center | 7220 Comons Circle, Cheyenne, WY 82009 | 2018-01-12 |
| 1912442682 | Lindsey Thurmes Mccoy | Dietitian, Registered | 2232 Dell Range Blvd Ste 282, Cheyenne, WY 82009 | 2017-01-04 |
| 1306380696 | Alexandra Gill | Social Worker | 3304 East 1-80 Service Rd., Cheyenne, WY 82009 | 2016-12-06 |
| 1104213859 | Jennifer Schwartz | Specialist | 2601 Plain View Rd, Cheyenne, WY 82009 | 2015-04-21 |
| 1861830465 | Tyler Boyd | Dentist | 7209 Commons Cir Unit A, Cheyenne, WY 82009 | 2013-06-05 |
| 1639513351 | Gene E Darnell | Pharmacist | 3702 Del Range Blvd, Cheyenne, WY 82009 | 2013-04-24 |
| 1376891952 | Robert R Kanard | Internal Medicine | 714 Edward Dr, Cheyenne, WY 82009 | 2012-08-29 |
| 1639443336 | Jennifer Alam | Case Manager/Care Coordinator | 3304 E. I80 Service Rd, Cheyenne, WY 82009 | 2012-02-28 |
| 1376815357 | Christina Kay Brown | Licensed Practical Nurse | 3304 E I80 Service Rd, Cheyenne, WY 82009 | 2012-02-06 |
| Find all providers in zip 82009 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649822487 | Julie Ann Meyer | Registered Nurse | 2600 E 18th St, Cheyenne, WY 82001-5511 | 2019-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659836336 | Casey Orzech | Registered Nurse | 4584 Fishing Club Drive, Jackson, WY 83002 | 2019-02-06 |
| 1386166999 | Julie Ann Cooper | Registered Nurse | 81 West 6th Avenue, Afton, WY 83110-1176 | 2017-07-14 |
| 1083161566 | Lori Norby | Registered Nurse | 6641 Monarch Ct, Casper, WY 82604 | 2016-09-01 |
| 1083161517 | Michelle Mary Dvorak | Registered Nurse | 811 Mountain View Dr, Apt 107, Gillette, WY 82716-2352 | 2016-09-01 |
| 1992167811 | Gwen Louise Gale | Registered Nurse | 2 North Cherokee Rd, Rawlins, WY 82301 | 2016-03-22 |
| 1386818185 | Nancy Joy Simpson | Registered Nurse | 73 Green Creek, Cody, WY 82414 | 2008-04-14 |
| 1487086997 | Juli Christina Coombs | Registered Nurse | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2013-08-07 |
| 1407291388 | Lee Matthew Ingalls | Registered Nurse | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2013-05-06 |
| 1043574999 | Reba Dale Traylor | Registered Nurse | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2012-06-26 |
Please comment or provide details below to improve the information on MRS. SUE ELLEN TARDIF.
| 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.