SUSAN F HERMES (NPI# 1356572432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356572432 |
| Entity Type | Individual |
| Full Name | SUSAN F HERMES |
| Other Name | SUSAN D FIESELMAN |
| Practice Address |
1350 E Woodrow Wilson Ave Jackson MS 39216-5112 |
| Practice Telephone | 6019812611 |
| Mailing Telephone | 6019812611 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
MS49844 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184870263 | Susan Skees Hermes | Occupational Therapist | 3865 Branch Ave, Mount Dora, FL 32757-4507 | 2008-08-08 |
| 1083715049 | Susan Kay Hermes | Occupational Therapist | 1021 Nw Highland Ave, Grants Pass, OR 97526-1146 | 2006-09-25 |
| Street Address |
1350 E WOODROW WILSON AVE |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-5112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790711273 | Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Physical Medicine & Rehabilitation | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2006-06-25 |
| 1922585967 | William Matthew Cliburn | Nurse Practitioner | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2018-07-23 |
| 1104329556 | Elizabeth Luker | Nurse Practitioner | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2018-03-13 |
| 1346563137 | Danny Ray Burgess | Psychologist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2010-03-08 |
| 1659531713 | Patricia Weaver Baird | Occupational Therapist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2008-06-12 |
| 1053579409 | Katie Ogletree Black | Occupational Therapist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2008-06-01 |
| 1740456235 | Jessica G Martinez | Occupational Therapist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2008-05-05 |
| 1629243100 | Peggy L Kelly | Occupational Therapist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2008-04-25 |
| 1477728905 | Lisa T Indest | Physical Therapist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2008-04-25 |
| 1386819852 | Kristi B Crisler | Speech-Language Pathologist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2008-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043756174 | Maribeth L. Hesser | Psychologist | 6675 N Upper Cascade Dr, Jackson, WY 83001-9390 | 2017-01-12 |
| 1215375746 | Payne Behavioral Medicine | Psychologist | 4005 N State St Ste N, Jackson, MS 39206-5755 | 2013-06-06 |
| 1598002610 | Kimberly D Weaver | Psychologist | 207 First Street, Jackson, MI 49201 | 2013-01-09 |
| 1497027775 | Fitness Clinic | Psychologist | 2219 Greenway Dr, Jackson, MS 39204-3202 | 2012-02-02 |
| 1760752976 | Mitchell S. Weisbrod, Psy.d., Pllc | Psychologist | 115 S West Ave Ste 1, Jackson, MI 49201-2085 | 2012-01-04 |
| 1275830887 | Martin E Cleveland Phd Pllc | Psychologist | 5 Brentmeade Cv, Jackson, TN 38305-6448 | 2011-02-16 |
| 1154636611 | Shannon Monique Moore | Psychologist | 1675 Lakeland Dr Ste 304, Jackson, MS 39216 | 2010-08-09 |
| 1598076903 | Nanetta S Payne | Psychologist | 4005 N State St, Suite N, Jackson, MS 39206-5755 | 2010-06-30 |
| 1932422763 | Marion Counseling Services, Pllc | Psychologist | 2095 Dunbarton Dr, Suite 103, Jackson, MS 39216-5017 | 2010-03-08 |
| 1457548737 | Deborah Ruddy Hansen | Psychologist | 6 Universal Way, Jackson, MI 49202-1455 | 2007-10-01 |
| Find all providers in JACKSON | ||||
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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.