SUE ST CLAIR (NPI# 1316926553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316926553 |
| Entity Type | Individual |
| Full Name | SUE ST CLAIR |
| Credential | MSN, APN |
| Practice Address |
620 Gallatin Pike S Suite 214 Madison TN 37115-4013 |
| Mailing Address |
1057 Todd Preis Dr Nashville TN 37221-2478 |
| Practice Telephone | 6154604300 |
| Practice Fax Number | 6154604302 |
| Mailing Telephone | 6154960965 |
| Mailing Fax Number | 6152486886 |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2013-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APN0000008257 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 4031293 | 01 |
| TN | 3904132 | 05 | |
| TN | 3904133 | 05 |
| Street Address |
620 GALLATIN PIKE S SUITE 214 |
| City | MADISON |
| State | TN |
| Zip Code | 37115-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960124 | Victoria Ann Fung-a-fat | Pharmacist | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2020-04-13 |
| 1962035915 | Olga Olivia Stanfill | Case Manager/Care Coordinator | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2020-02-18 |
| 1669010286 | Jennifer Janel Gardner | Licensed Practical Nurse | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-12-13 |
| 1619511417 | Andrea Santa Maria | Counselor | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-11-05 |
| 1871135921 | Jordann Moore | Case Manager/Care Coordinator | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-10-10 |
| 1386293546 | Stacy Hansen | Technician | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-09-10 |
| 1528617255 | Melba Buchanan | Counselor | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-09-05 |
| 1225686850 | Amy Jo Doiel | Case Manager/Care Coordinator | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-08-27 |
| 1023676624 | Ann Larose | Specialist | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-05-30 |
| 1770146433 | Heather Sullivan | Case Management | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
| 1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
| 1659866481 | Amanda Elliott | Pharmacist | 109 Gallatin Rd, Madison, TN 37115 | 2018-06-25 |
| 1760938492 | Larry Cox | Case Manager/Care Coordinator | 620 S. Gallatin Pike, Madison, TN 37115 | 2016-09-01 |
| 1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
| 1992190193 | Emily Tibbs | Case Manager/Care Coordinator | 620 Gallatin Pike, Madison, TN 37115 | 2015-04-03 |
| 1164829982 | Laura Boswell | Case Manager/Care Coordinator | 620 Gallatin Pike South, Madison, TN 37115 | 2014-11-21 |
| 1720498058 | Edward Andrew Roberts | Chiropractor | 1710 Gallatin Pike N, Madison, TN 37115 | 2014-05-08 |
| 1700296217 | Lamonia Merritt | Student in an Organized Health Care Education/Training Program | 645 Cheyenne Blvd, Madison, TN 37115 | 2014-05-06 |
| 1629497656 | Corey Joseph Cloud | Dentist | 500 Lentz Dr Ste 40, Madison, TN 37115 | 2014-04-07 |
| Find all providers in zip 37115 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407402795 | Martha Rainey Daniels | Nurse Practitioner | 509 Highleadon Cv, Madison, MS 39110-7465 | 2019-08-13 |
| 1376081570 | Theresa Laggis | Nurse Practitioner | 85 Wall St Fl 1, Madison, CT 06443-3121 | 2017-02-08 |
| 1235500489 | Shawn Brady | Nurse Practitioner | 510 Hospital Dr Ste 260, Madison, TN 37115-5027 | 2015-10-14 |
| 1598045197 | Susan Ann Flannigan | Nurse Practitioner | 16 Tuxis Rd, Madison, CT 06443-3026 | 2011-08-26 |
| 1811181126 | Traci Marando | Nurse Practitioner | 20 Madrina Lane, Madison, CT 06443 | 2007-08-29 |
| 1427039353 | Amy Jean Miller | Nurse Practitioner | 2727 Marshall Ct, Madison, WI 53705-2255 | 2005-11-08 |
| 1710510680 | The Gaetani Center | Nurse Practitioner | 71 Bradley Rd Unit 6, Madison, CT 06443-2662 | 2020-02-19 |
| 1851922322 | Joy Elizabeth Robinson | Nurse Practitioner | 223 Madison St Ste 103, Madison, TN 37115-3660 | 2020-02-03 |
| 1174161749 | Heather Greer | Nurse Practitioner | 510 Hospital Dr Ste 260, Madison, TN 37115-5027 | 2019-12-13 |
| 1336786714 | Sarah Jane Miller | Nurse Practitioner | 708 Will Halsey Way, Madison, AL 35758-2565 | 2019-12-05 |
| Find all providers in MADISON | ||||
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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.