MS. SUSAN M MCKEOWN (NPI# 1326111295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326111295 |
Entity Type | Individual |
Full Name | MS. SUSAN M MCKEOWN |
Credential | ARNP |
Practice Address |
1245 Elm Street Manchester NH 03101-1308 |
Practice Telephone | 6036686629 |
Practice Fax Number | 6036227680 |
Mailing Telephone | 6036686629 |
Mailing Fax Number | 6036227680 |
Enumeration Date | 2006-11-16 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
016062 21 | NH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | 30008740 | 05 |
Street Address |
1245 ELM STREET |
City | MANCHESTER |
State | NH |
Zip Code | 03101-1308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245498823 | Child Health Services | Psychologist | 1245 Elm Street, Manchester, NH 03101-1398 | 2008-05-30 |
1952591331 | Child Health Servics (teen Health Clinic) | Clinic/Center | 1245 Elm Street, Manchester, NH 03101 | 2007-07-31 |
1932269149 | Lisa Allard Dibrigida | Pediatrics | 1245 Elm Street, Manchester, NH 03101-1308 | 2006-12-11 |
1750459376 | Maria Veronica Osullivan | Pediatrics | 1245 Elm Street, Manchester, NH 03101-1308 | 2006-12-01 |
1912075532 | Claudette C Ramsey | Nurse Practitioner | 1245 Elm Street, Manchester, NH 03101-1308 | 2006-12-01 |
1225101199 | Diana Dorsey | Pediatrics | 1245 Elm Street, Manchester, NH 03101-1308 | 2006-11-16 |
1376616243 | Robert Andrew Nordgren | Pediatrics | 1245 Elm Street, Manchester, NH 03101-1308 | 2006-11-16 |
1043383912 | Joyce C Koerber | Registered Nurse | 1245 Elm Street, Manchester, NH 03101-1308 | 2006-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003320425 | Miranda Sherburne | Occupational Therapist | 470 Pine Street, Manchester, NH 03101 | 2017-11-21 |
1396266938 | Juliette W Daniels | Social Worker | 464 Chestnut Street, Child and Family Services, Manchester, NH 03101 | 2017-07-05 |
1851820450 | Samantha Ysabelle Kattiria | Specialist/Technologist | 39 Kosciuszko Street, Apt 4, Manchester, NH 03101 | 2017-06-07 |
1598121188 | Angelique Alicia Fortin | Counselor | 77 Pearl St., Manchester, NH 03101 | 2016-01-12 |
1578946786 | Reta Goldman | Counselor | 25 Lowell St Ste 208, Manchester, NH 03101 | 2015-07-07 |
1306239207 | Myra Jean Nikitas | Dental Hygienist | 97 West Merrimack Street, Manchester, NH 03101 | 2015-03-17 |
1902234586 | Judith Patrick Ronshagen | Pharmacist | 175 Queen City Avenue, Ste 1, Manchester, NH 03101 | 2013-10-17 |
1942566336 | Elizabeth Zavagnin | Specialist | 2 Wall St Ste 200, Manchester, NH 03101 | 2012-04-10 |
1538463088 | William Gerald Mccormick | Pharmacist | 175 Queen City Ave, Manchester, NH 03101 | 2010-12-27 |
1215241799 | Melissa Ann Dinoto | Counselor | 20 Market St., Manchester, NH 03101 | 2010-07-27 |
Find all providers in zip 03101 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508834508 | Barbara Renshaw | Nurse Practitioner | 210 Main Street, Manchester, CT 06040 | 2006-03-08 |
1285073213 | Kristin Evans Logan | Nurse Practitioner | 1245 Elm St, Manchester, NH 03101-1308 | 2013-06-24 |
1891054490 | Suzanne Marie Vance | Nurse Practitioner | 275 Mammoth Rd, Suite 1, Manchester, NH 03109-4133 | 2012-05-16 |
1942451646 | Kristen Elizabeth Stevens | Nurse Practitioner | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2008-10-01 |
1417153677 | Kids Station Pediatrics | Nurse Practitioner | 191 Main St, Manchester, CT 06042-3556 | 2007-06-25 |
1396814612 | Elda Cordero-goodman | Nurse Practitioner | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2006-11-08 |
1235219320 | Cornelia Gonsalves | Nurse Practitioner | 100 Hitchcock Way, Capp, Manchester, NH 03104-4125 | 2006-10-16 |
1205921996 | Eileen Mccarthy | Nurse Practitioner | 4 Elliot Way, Suite105, Manchester, NH 03103 | 2006-10-04 |
1568490225 | Debra Ann Ritrovato | Nurse Practitioner | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2006-06-29 |
1538196902 | Matthew Thomas Hendell | Nurse Practitioner | 212 Rosedale Dr, Manchester, PA 17345-1023 | 2006-06-28 |
Find all providers in MANCHESTER |
City | MANCHESTER |
Zip Code | 03101 |
Please comment or provide details below to improve the information on MS. SUSAN M MCKEOWN.
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.