SUSAN B ELMORE (NPI# 1114106804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114106804 |
| Entity Type | Individual |
| Full Name | SUSAN B ELMORE |
| Other Name | SUSAN BEIGHTOL |
| Credential | PCNS, APRN |
| Practice Address |
3101 Broadway Blvd Kansas City MO 64111-2659 |
| Mailing Address |
2401 Gillham Rd. Provider Enrollment Kansas City MO 64108-4619 |
| Practice Telephone | 8169603080 |
| Practice Fax Number | 8169608046 |
| Mailing Telephone | 8167015200 |
| Mailing Fax Number | 8163029939 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2018-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
78270 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
2018026781 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
83955 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770573354 | Susan Elmore | Psychologist | 1631 Sw Columbia St, Portland, OR 97201-6025 | 2005-10-25 |
| 1215904727 | Susan G. Elmore | Nurse Anesthetist, Certified Registered | 100 N Academy Ave, Danville, PA 17822-2025 | 2006-03-02 |
| Street Address |
3101 BROADWAY BLVD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619837 | Chris D Stone | Internal Medicine | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2005-06-17 |
| 1013556661 | Taylor Kramer | Speech-Language Pathologist | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-12-31 |
| 1548810526 | Stephanie Kara Grote | Nurse Practitioner | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-09-12 |
| 1306402052 | Whitney Root | Speech-Language Pathologist | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-05-17 |
| 1780247247 | Misty M Smith | Nurse Practitioner | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-04-19 |
| 1700342466 | Sabetha Young | Dietitian, Registered | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-02-18 |
| 1811475577 | Lydia Muja Jobickson | Audiologist | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2018-08-03 |
| 1801389440 | Bailey Kay Pepperdine | Audiologist | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2018-06-08 |
| 1730676933 | Alannah K Yoder | Pharmacist | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2018-04-13 |
| 1184147092 | Callie Chagas | Dietitian, Registered | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2017-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417514951 | Michelle Lee Weltman | Clinical Nurse Specialist | 4408 Terrace St, Kansas City, MO 64111-4223 | 2019-05-21 |
| 1689037772 | Tiffany Mullen | Clinical Nurse Specialist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2016-04-05 |
| 1306255724 | Clint Dziadosz | Clinical Nurse Specialist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2014-08-11 |
| 1780093310 | Shirley Nichols | Clinical Nurse Specialist | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2014-08-07 |
| 1548602444 | Sarah M. Lagergren | Clinical Nurse Specialist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2013-07-22 |
| 1083960660 | Ellen Marguerite Rodenberger | Clinical Nurse Specialist | 2040 Hutton Rd, Suite 102, Kansas City, KS 66109-4526 | 2012-08-01 |
| 1558540898 | Christine A Symes | Clinical Nurse Specialist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-11-02 |
| 1861435299 | Cathy J Burks | Clinical Nurse Specialist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-06-14 |
| 1225077597 | Kristina Larae Foster | Clinical Nurse Specialist | 2401 Gillham Rd, Hematology/oncology, Kansas City, MO 64108-4619 | 2006-06-05 |
| 1467407098 | Cathy C Cartwright | Clinical Nurse Specialist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-05-23 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
Please comment or provide details below to improve the information on SUSAN B ELMORE.
| 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.