MRS. SUZANNE ELIZABETH GAULDIN


Address: 12175 N 179th East Ave, Collinsville, OK 74021-6259
Phone: 9186980965

MRS. SUZANNE ELIZABETH GAULDIN (NPI# 1104191931) 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) 1104191931
Entity Type Individual
Full Name MRS. SUZANNE ELIZABETH GAULDIN
Credential RD/LD
Practice Address 12175 N 179th East Ave
Collinsville
OK 74021-6259
Practice Telephone 9186980965
Mailing Telephone 9186980965
Enumeration Date 2012-03-12
Last Update Date 2012-03-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
764 OK Dietary & Nutritional Service Providers

Office Location

Street Address 12175 N 179TH EAST AVE
City COLLINSVILLE
State OK
Zip Code 74021-6259

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982194254 Bonnie J Johnston Registered Nurse 526 E Center St, Collinsville, OK 74021 2018-05-12
1508218959 Constance Rogers Family Medicine 1205 W Main St, Collinsville, OK 74021 2016-07-11
1922597020 Catherine Eimer Case Manager/Care Coordinator 18492 S View Point Ct, Collinsville, OK 74021-1516 2018-05-03
1982001756 Julia Profit Registered Nurse 215 N 20th St, Collinsville, OK 74021-1604 2014-11-21
1417418666 Andrea J Caygill Physician Assistant 216 N 20th St, Collinsville, OK 74021-1605 2019-03-29
1356452908 St. John Villas Inc. Nursing Facility/Intermediate Care Facility 2300 W Broadway St, Collinsville, OK 74021-1625 2006-08-31
1770113771 Erika Dawn Rector Occupational Therapy Assistant 2300 W Broadway St, Collinsville, OK 74021-1625 2020-01-19
1720506702 City of Sapulpa Skilled Nursing Facility 2300 W Broadway St, Collinsville, OK 74021-1625 2017-08-30
1538400452 North County Senior Living, LLC Skilled Nursing Facility 2300 W Broadway St, Collinsville, OK 74021-1625 2013-03-04
1770828295 Leslyn Ann Sutton Occupational Therapy Assistant 2300 W Broadway St, Collinsville, OK 74021-1625 2012-12-10
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Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558867788 Ashley Lynn Ethriedge Dietitian, Registered 1200 N Phillips Ave Ste 12100, Oklahoma City, OK 73104-4600 2018-04-05
1174805147 Jessica Rae Shaw Dietitian, Registered 1000 N Lincoln Ave, Sutie 2900, Oklahoma City, OK 73104 2011-09-15
1659593168 Banister & Associates LLC Dietitian, Registered 4200 West Memorial Rd, Suite 508, Oklahoma City, OK 73120 2007-05-03
1982747861 Betty Jean Chuculate Dietitian, Registered 1265 South Utica Ste. 100n, Tulsa, OK 74104-4090 2007-02-14
1134220171 William Keith Glodowski Dietitian, Registered 921 Ne 13th St Dept Veterans, N&fs 120, Oklahoma City, OK 73104-5007 2006-09-25
1811510530 Bailey Chambers Dietitian, Registered 3330 Nw 56th St Ste 500, Oklahoma City, OK 73112-4470 2020-05-28
1518515956 Well Rooted Health and Nutrition Dietitian, Registered 3330 Nw 56th St Ste 608, Oklahoma City, OK 73112-4470 2019-08-28
1962783290 Lacey Bixler Dietitian, Registered 1000 N Lincoln Blvd, Suite 2900, Oklahoma City, OK 73104-3252 2011-08-31
1285886713 Comanche County Healthcare Corp Dietitian, Registered 3201 W Gore Blvd, Suite 103, Lawton, OK 73505-6378 2008-10-15
1851513600 Rebecca Sue Hollander Dietitian, Registered 3401 W Gore Blvd, Lawton, OK 73505-6332 2007-05-02
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Competitor

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City COLLINSVILLE
Zip Code 74021

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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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