SUSANNA R MIREL (NPI# 1215222591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215222591 |
| Entity Type | Individual |
| Full Name | SUSANNA R MIREL |
| Other Name | SHOSHANA R MIREL |
| Credential | ARNP |
| Practice Address |
971 11th Ave Longview WA 98632-2503 |
| Practice Telephone | 3605771771 |
| Practice Fax Number | 3604231405 |
| Mailing Telephone | 3605771771 |
| Mailing Fax Number | 3604231405 |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP60223340 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
971 11TH AVE |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750362943 | Hannah G Rishel | Pediatrics | 971 11th Ave, Longview, WA 98632 | 2005-11-07 |
| 1134657778 | Child and Adolescent Clinic | Case Manager/Care Coordinator | 971 11th Ave, Longview, WA 98632-2503 | 2017-05-26 |
| 1730564378 | Robin Wulff | Nurse Practitioner | 971 11th Ave, Longview, WA 98632-2503 | 2015-07-24 |
| 1457765638 | Jennifer Chu-smith | Pediatrics | 971 11th Ave, Longview, WA 98632-2503 | 2014-06-16 |
| 1467866939 | Jennifer Christine Hollinger | Pediatrics | 971 11th Ave, Longview, WA 98632 | 2014-06-12 |
| 1801195375 | Wesley Scott Henricksen | Pediatrics | 971 11th Ave, Longview, WA 98632-2503 | 2011-03-22 |
| 1528366986 | Pediatric Cardiology Center of Oregon PC | Pediatrics | 971 11th Ave, Longview, WA 98632-2503 | 2011-03-09 |
| 1538303458 | Tsering L Lhewa | Pediatrics | 971 11th Ave, Longview, WA 98632-2503 | 2009-04-22 |
| 1932363124 | Amrita Stark | Pediatrics | 971 11th Ave, Longview, WA 98632-2503 | 2008-07-16 |
| 1104097906 | Providence Health & Services Oregon | Clinic/Center | 971 11th Ave, Longview, WA 98632-2503 | 2008-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881115681 | Rachel Kathryn Moore | Nurse Practitioner | 1615 Delaware St, Longview, WA 98632-2367 | 2017-06-30 |
| 1730564378 | Robin Wulff | Nurse Practitioner | 971 11th Ave, Longview, WA 98632-2503 | 2015-07-24 |
| 1316170160 | Amanda J Prince Chen | Nurse Practitioner | 1009 N 4th St, Suite B, Longview, TX 75601-4768 | 2009-08-27 |
| 1659468262 | Jocelan Ramsey | Nurse Practitioner | 1107 E Marshall Ave, Longview, TX 75601-5602 | 2006-10-06 |
| 1376527648 | Mary Alice Mccubbins | Nurse Practitioner | 971 11th Ave, Longview, WA 98632 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200509 | Megan Maureen Bauer | Nurse Practitioner | 6057 California Ave Sw, Seattle, WA 98136-1612 | 2020-09-17 |
| 1265077960 | Hannah Thornton | Nurse Practitioner | 4800 Sand Point Way Ne # Fa.2114, Seattle, WA 98105-3901 | 2019-11-17 |
| 1598319683 | Jennifer Lynn Bryson | Nurse Practitioner | 8738 Falls Ave Se, Snoqualmie, WA 98065-9610 | 2019-07-28 |
| 1013494434 | Lindsay Bascom Brown | Nurse Practitioner | 12815 120th Ave Ne Ste A, Kirkland, WA 98034-3003 | 2018-07-27 |
| 1518475631 | Sarah Remorca Agtarap | Nurse Practitioner | 175 1st Pl Nw Ste A, Issaquah, WA 98027-2746 | 2018-01-11 |
| 1518470137 | Bear Creek Pediatrics | Nurse Practitioner | 105 W 8th Ave Ste 7035, Spokane, WA 99204-2313 | 2017-11-06 |
| 1871005298 | Alexis Anne Abel | Nurse Practitioner | 15650 Ne 24th St Ste C, Bellevue, WA 98008-2460 | 2017-10-25 |
| 1326569021 | Spencer Rorie Crihfield | Nurse Practitioner | Po Box 1452, Pasco, WA 99301-1223 | 2017-07-03 |
| 1912427386 | Melinda Ehren Kratzig | Nurse Practitioner | 4800 Sand Point Way Ne # Msoa9220, Seattle, WA 98105-3901 | 2017-06-26 |
| 1245766880 | Jennifer Jean Baker | Nurse Practitioner | 904 7th Ave Fl 3, Seattle, WA 98104-1132 | 2017-05-02 |
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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.