SUSAN ELAINE BEATY (NPI# 1194701276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194701276 |
Entity Type | Individual |
Full Name | SUSAN ELAINE BEATY |
Credential | APRN |
Practice Address |
2620 W Faidley Ave Wound Ostomy Healing Center Grand Island NE 68803-4205 |
Practice Telephone | 3083985981 |
Mailing Telephone | 3083985981 |
Enumeration Date | 2005-12-20 |
Last Update Date | 2014-09-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 34217 | NE | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
110221 | NE | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 10025288400 | 05 | |
NE | 47-037-6601-36 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275870016 | Susan N. Beaty | Counselor | 3343 N. Windsong Dr., Prescott Valley, AZ 86314-2283 | 2013-01-14 |
1619395704 | Susan Beaty | Specialist | 17077 Meridian Ave N, Shoreline, WA 98133-5531 | 2014-04-04 |
1396001244 | Susan Elaine Beaty | Case Manager/Care Coordinator | 22510 Alberta St, Oneida, TN 37841-3802 | 2012-04-04 |
1962635342 | Susan Clare Beaty | Audiologist | 4501 Central Ave, Suite 174, Hot Springs, AR 71913-7440 | 2009-09-01 |
Street Address |
2620 W FAIDLEY AVE WOUND OSTOMY HEALING CENTER |
City | GRAND ISLAND |
State | NE |
Zip Code | 68803-4205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780200139 | Emily Rae Christensen | Nurse Practitioner | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2020-06-22 |
1720621121 | Rachel James | Nurse Practitioner | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2019-10-18 |
1245724137 | Suellen Ranee Bruguera | Nurse Practitioner | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2018-06-14 |
1508357930 | Midwest Emergency Grand Island Inc | Emergency Medicine | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2018-05-22 |
1740782770 | Lpp of Nebraska LLC | Emergency Medicine | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2018-03-06 |
1528588357 | Chelsea Mae Pedroza | Nurse Practitioner | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2017-06-22 |
1477009686 | Zeeshan Khalid | Internal Medicine | 2620 W Faidley Ave, Grand Island, NE 68803 | 2016-08-28 |
1902251010 | Shoaib Junejo | Internal Medicine | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2016-04-26 |
1730593823 | Suresh Manapuram | Internal Medicine | 2620 W Faidley Ave, Dept of Hospital Medicine, Grand Island, NE 68803 | 2014-06-17 |
1306194337 | Babak Farivar | Emergency Medicine | 2620 W Faidley Ave, Department of Emergency Medicine, Grand Island, NE 68803-4205 | 2012-08-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467053884 | Christopher Patrin | Counselor | 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 | 2020-11-03 |
1942848593 | Specialized Outpatient Services | Counselor | 1811 West 2nd Street Suite 450, Grand Island, NE 68803 | 2019-12-13 |
1558910604 | Grand Island Regional Medical Center | General Acute Care Hospital | 3533 Prairieview Street, Grand Island, NE 68803 | 2019-09-10 |
1992225817 | Destiny Mostek | Dietitian, Registered | 2201 N. Broadwell Ave, Grand Island, NE 68803 | 2017-06-21 |
1184150591 | Brandy Rae Bird | Registered Nurse | Mosaic Msu 2905 West 5th Street, Grand Island, NE 68803 | 2017-05-04 |
1831633171 | Karla Jean Sextro | Counselor | 2112 W. Faidley Ave, Grand Island, NE 68803 | 2016-12-06 |
1689062895 | Good Hands Clinic PC | Specialist | 524 South Webb Rd, Suite 1, Grand Island, NE 68803 | 2014-12-23 |
1346664554 | Lindsey M Modlin | Dental Hygienist | 4234 New York Ave, Grandi Island, NE 68803 | 2014-02-07 |
1568711711 | Danessa Marie Kenney | Counselor | 908 N. Howard Ave. Suite 107, Nebraska Children's Home Society, Grand Island, NE 68803 | 2012-09-04 |
1649528563 | Nicole Morris | Physical Therapist | 2116 Faidley Ave, Grand Island, NE 68803 | 2012-08-27 |
Find all providers in zip 68803 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013521541 | Jean Moise Voltaire | Nurse Practitioner | 3191 Spicer Ave, Grand Island, FL 32735-9015 | 2020-09-02 |
1841822590 | Prosperity Health and Wellness Clinic | Nurse Practitioner | 403 Lexington Cir Ste I, Grand Island, NE 68803-9728 | 2020-02-11 |
1538649157 | Suzanne Patrice Paige | Nurse Practitioner | 3008 Zander Dr, Grand Island, FL 32735-9020 | 2018-08-14 |
1326402819 | Kevin Roberts | Nurse Practitioner | 36800 Queen Bee Ln, Grand Island, FL 32735-8950 | 2016-04-11 |
1851762785 | Sherry R Kropatsch | Nurse Practitioner | 1932 Aspen Cir Ste G, Grand Island, NE 68803-2474 | 2015-10-19 |
1336437789 | Rita M Mitchell | Nurse Practitioner | 2390 Stony Point Rd, Grand Island, NY 14072-1833 | 2011-07-19 |
1083641674 | Jan Marie Amundson | Nurse Practitioner | 2201 N. Broadwell, Grand Island, NE 68803-2196 | 2006-06-27 |
1396700712 | Susan B Senf | Nurse Practitioner | 2694 E River Rd, Grand Island, NY 14072-2155 | 2006-04-19 |
1962400671 | Jennifer Marie Axt | Nurse Practitioner | 2300 W Capital Ave, Grand Island, NE 68803-2003 | 2005-07-07 |
1700495116 | Michelle Bittner | Nurse Practitioner | 3307 W Capital Ave, Grand Island, NE 68803-1334 | 2020-07-31 |
Find all providers in GRAND ISLAND |
City | GRAND ISLAND |
Zip Code | 68803 |
Please comment or provide details below to improve the information on SUSAN ELAINE BEATY.
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.