SUSAN GRIZZARD PETERSON (NPI# 1124330014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124330014 |
| Entity Type | Individual |
| Full Name | SUSAN GRIZZARD PETERSON |
| Other Name | SUSAN N GRIZZARD |
| Credential | N.P. |
| Practice Address |
225 E Wood St Spartanburg SC 29303-3050 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645604420 |
| Practice Fax Number | 8645605296 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2018-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4281 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PIN | AA57905019 | 01 |
| NC | 7004655 | 05 | |
| SC | NP1650 | 05 | |
| SC | RAILROAD MEDICARE | P01322006 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801378021 | Susan Nell Peterson | Speech-Language Pathologist | 1045 18th St Sw, Huron, SD 57350-3464 | 2018-09-04 |
| 1366709750 | Susan Harper Peterson | Counselor | 1560 Olympia Cir, #103, Castle Rock, CO 80104-5464 | 2012-04-23 |
| 1972819712 | Susan Karen Peterson | Dietitian, Registered | 3965 Crystal Lake Trl, Faribault, MN 55021-7974 | 2010-08-30 |
| 1255475166 | Susan Peterson | Psychologist | 924 Old Harmony Rd, Suite 201, Newark, DE 19713-4184 | 2007-02-16 |
| 1922178839 | Susan F Peterson | Respiratory Therapist, Registered | 61 Broad Reach, T114-b, North Weymouth, MA 02191-2229 | 2006-11-08 |
| 1104908540 | Susan Peterson | Physical Therapist | 134 Drury Dr, La Plata, MD 20646-4241 | 2006-10-19 |
| 1013014349 | Susan K. Peterson | Social Worker | 1513 25th Ave, Seattle, WA 98122-3017 | 2006-09-20 |
| 1497860480 | Susan A Peterson | Occupational Therapist | 13253 E Playfield Dr, Crestwood, IL 60445 | 2006-08-20 |
| 1003854217 | Susan Mary Peterson | Registered Nurse | 20600 Milton Ct, Brookfield, WI 53045-4020 | 2006-06-02 |
| 1396738803 | Susan Margaret Peterson | Nurse Practitioner | J457 Kentucky Clinic, 740 South Limestone St, Lexington, KY 40536-0284 | 2005-08-30 |
| Street Address |
225 E WOOD ST |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609876374 | William Cuyler Calton Jr. | Surgery | 225 E Wood St, Spartanburg, SC 29303-3050 | 2005-07-26 |
| 1598132961 | Blaine David Buchanan | Physician Assistant | 225 E Wood St, Spartanburg, SC 29303-3050 | 2015-09-01 |
| 1316335854 | Becky Williams | Nurse Practitioner | 225 E Wood St, Spartanburg, SC 29303-3050 | 2015-01-07 |
| 1558764654 | Christy Flores I | Nurse Practitioner | 225 E Wood St, Spartanburg, SC 29303-3050 | 2014-10-02 |
| 1982023339 | Christopher James Edenfield | Physician Assistant | 225 E Wood St, Spartanburg, SC 29303 | 2014-04-14 |
| 1841587797 | Ronald Howard Figura | Surgery | 225 E Wood St, Spartanburg, SC 29303 | 2011-06-29 |
| 1255635389 | Erica Rousseau Clark | Surgery | 225 E Wood St, Spartanburg, SC 29303-3050 | 2011-01-04 |
| 1356537161 | Phillip Brent Reustle | Physician Assistant | 225 E Wood St, Spartanburg, SC 29303-3050 | 2007-09-15 |
| 1982803144 | Charles Jason Rousseau | Surgery | 225 E Wood St, Spartanburg, SC 29303-3050 | 2007-07-17 |
| 1730219205 | Scott Marion Hovis | Surgery | 225 E Wood St, Suite G, Spartanburg, SC 29303-3050 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326542887 | Timekia Renee Hill | Nurse Practitioner | 420 Farnsworth Rd, Spartanburg, SC 29301-1626 | 2018-03-20 |
| 1144697384 | Clint Price | Nurse Practitioner | 2030 North Church Street, Lung and Chest Medical Associates, Spartanburg, SC 29303-3909 | 2015-08-24 |
| 1417271677 | Leslie H. Kennedy | Nurse Practitioner | 101 East Street, Suite 401, Spartanburg, SC 29303-3040 | 2010-03-17 |
| 1649352873 | Helen Rowena Valentine | Nurse Practitioner | 151 E Wood St, Spartanburg, SC 29303-3016 | 2006-10-19 |
| 1851373021 | Kim Waldenmaier | Nurse Practitioner | 101 E Wood St Ste 330, Spartanburg, SC 29303-3040 | 2005-11-15 |
| 1033738323 | Emily Randall Caldwell | Nurse Practitioner | 322 N Pine St, Spartanburg, SC 29302-1631 | 2020-04-16 |
| 1548896616 | April Leanne Gossett | Nurse Practitioner | 391 Serpentine Dr Ste 500, Spartanburg, SC 29303-3083 | 2020-03-20 |
| 1467086959 | Andrew Mccraw | Nurse Practitioner | 1330 Boiling Springs Rd Ste 1600, Spartanburg, SC 29303-4219 | 2020-02-24 |
| 1689206690 | Catherine Lee Jenkins | Nurse Practitioner | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-02-07 |
| 1770113920 | Jessica Massey Medlin | Nurse Practitioner | 400 Locust Grv, Spartanburg, SC 29303-4831 | 2020-01-16 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
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| 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.