MRS. SUSAN WARREN BENTLEY (NPI# 1194702969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194702969 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN WARREN BENTLEY |
| Other Name | SUSAN WARREN SMITH |
| Credential | CRNP |
| Practice Address |
1005 Avalon Ave Muscle Shoals AL 35661-2401 |
| Practice Telephone | 2569785740 |
| Practice Fax Number | 2569785770 |
| Mailing Telephone | 2569785740 |
| Mailing Fax Number | 2569785770 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2019-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1031194 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 214361 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1005 Avalon Ave, Muscle Shoals, AL 35661 | 2569785740 | 2569785770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649729302 | Susan Bentley | Licensed Practical Nurse | 4475 Mostetler Rd, Harrison, MI 48625-9230 | 2016-09-22 |
| 1679981773 | Susan Lorraine Bentley | Case Manager/Care Coordinator | 5221 Hickory Pl, Cheyenne, WY 82009-5117 | 2014-08-01 |
| 1417393927 | Susan E Bentley | Physician Assistant | 2315 Myrtle St Ste 190, Erie, PA 16502-4604 | 2013-05-13 |
| 1558440206 | Susan Marie Bentley | Psychiatry & Neurology | Harborview Medical Center, 325 9th Ave, Seattle, WA 98104-2499 | 2006-11-03 |
| 1538175153 | Susan Molthop Bentley | Psychiatry & Neurology | 2215 Portland Ave, Louisville, KY 40212-1033 | 2006-08-01 |
| Street Address |
1005 AVALON AVE |
| City | MUSCLE SHOALS |
| State | AL |
| Zip Code | 35661-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063987113 | Options Wellness Center, LLC | Clinic/Center | 1005 Avalon Ave, Muscle Shoals, AL 35661-2401 | 2018-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255892865 | Diabetes and Wellness Clinic of The Shoals | Clinic/Center | 1110 E 6th St Suite E, Muscle Shoals, AL 35661 | 2019-03-27 |
| 1205354222 | Life Counseling Center, LLC | Clinic/Center | 100 Alabama Ave., Suite C, Muscle Shoals, AL 35661 | 2017-08-30 |
| 1558884569 | Roger Eugene Jarrell | Pharmacist | 517 W. Avalon Ave, Walmart Pharmacy, Muscle Shoals, AL 35661 | 2017-07-21 |
| 1205294428 | Red Bay Hospital Outpatient Clinics LLC | Clinic/Center | 14490 County Line Road, Suite A, Muscle Shoals, AL 35661 | 2016-02-02 |
| 1265813802 | Brittany Johnson Sutton | Physical Therapy Assistant | 200 Alabama Avenue, Muscle Shoals, AL 35661 | 2015-06-09 |
| 1538566013 | Procare Physical Therapy | Physical Therapist | 322 Lonnie Dr., Muscle Shoals, AL 35661 | 2014-11-26 |
| 1972919165 | Erica Conley | Nurse Practitioner | 210 Avalon Ave, Muscle Shoals, AL 35661 | 2014-07-08 |
| 1205260254 | Donnella Tenn | Occupational Therapy Assistant | 200 Alabama Street, Muscle Shoals, AL 35661 | 2013-08-27 |
| 1043553357 | Thaddeus Jason Boughton | Nurse Practitioner | 1110 E 6th Street Suite E, Muscle Shoals, AL 35661 | 2013-04-04 |
| 1629312301 | Sarah Blaylock | Occupational Therapist | 200 Alabama Ave, Muscle Shoals, AL 35661 | 2012-11-19 |
| Find all providers in zip 35661 | ||||
| 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 |
|---|---|---|---|---|
| 1265085880 | Brian Anthony Davenport | Nurse Practitioner | 2400 Avalon Ave, Muscle Shoals, AL 35661-3187 | 2019-07-23 |
| 1235603275 | Pache Kees Murphy-jennings | Nurse Practitioner | 102 Physicians Dr Ste A, Muscle Shoals, AL 35661-2149 | 2019-01-13 |
| 1467999755 | Kelly Britnell | Nurse Practitioner | 2400 Avalon Ave, Muscle Shoals, AL 35661-3187 | 2017-01-24 |
| 1780041186 | Amanda N Dodd | Nurse Practitioner | 201 Avalon Ave, Muscle Shoals, AL 35661-2805 | 2016-01-15 |
| 1235403171 | Holly M Potts | Nurse Practitioner | 104 Physicians Dr, Suite A, Muscle Shoals, AL 35661-2100 | 2012-02-23 |
| 1760714968 | Erica Diane Hogeland | Nurse Practitioner | 203 Avalon Ave, Suite 130, Muscle Shoals, AL 35661-2869 | 2010-02-12 |
| 1629308168 | Carrie Amanda Hill | Nurse Practitioner | 2400 Avalon Ave, Muscle Shoals, AL 35661-3164 | 2010-01-06 |
| 1720189756 | Theresa E Landrum | Nurse Practitioner | 2400 Avalon Ave, Muscle Shoals, AL 35661 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948368 | Starr Ellen Valerio | Nurse Practitioner | 115 Rachel Dr Nw, Huntsville, AL 35806 | 2020-10-02 |
| 1336756600 | Vivian Elizabeth Jackson | Nurse Practitioner | 1216 25th St N, Birmingham, AL 35234-3139 | 2020-09-30 |
| 1104430446 | Victory Health of Oneonta LLC | Nurse Practitioner | 28252 Al-75, Oneonta, AL 35121 | 2020-09-03 |
| 1467070300 | Sarah Katherine Clarke | Nurse Practitioner | 861 Pinemont Dr, Mobile, AL 36609-3037 | 2020-07-07 |
| 1104448919 | Thaila Keodouangdy | Nurse Practitioner | 9350 Ofallon Dr, Mobile, AL 36695-9813 | 2020-05-14 |
| 1447872320 | Irina Guerard | Nurse Practitioner | 8886 Lake View Dr, Fairhope, AL 36532-6939 | 2020-05-13 |
| 1528680915 | Pure Integrative Wellness and Hydration LLC | Nurse Practitioner | 2703 University Blvd E Ste B, Tuscaloosa, AL 35404-3226 | 2020-05-08 |
| 1811517402 | Lillian Teicher Branham | Nurse Practitioner | 382 Slaughter Rd, Madison, AL 35758-2008 | 2020-04-23 |
| 1265061006 | Margaret Kelly Mcclusky | Nurse Practitioner | 10147 Wildwood Ln, Cottondale, AL 35453-1117 | 2020-04-03 |
| 1427686062 | Tara Cooley | Nurse Practitioner | 909 Tracey Ln, Decatur, AL 35601-7701 | 2020-03-30 |
| Find all providers with the same taxonomy | ||||
| City | MUSCLE SHOALS |
| Zip Code | 35661 |
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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.