SUSAN NILES (NPI# 1386066850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386066850 |
| Entity Type | Individual |
| Full Name | SUSAN NILES |
| Other Name | SUSAN STROMBLAD |
| Credential | MSE, ATC, LAT |
| Practice Address |
19428 I-45 North Spring TX 77373 |
| Mailing Address |
17022 Hill View Ln Spring TX 77379-4536 |
| Practice Telephone | 2818917084 |
| Practice Fax Number | 2818917082 |
| Mailing Telephone | 2817365563 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT3765 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780717066 | Susan Marie Niles | Dentist | 14707 California Street, Seville Square Office Building Suite 15, Omaha, NE 68154-1900 | 2007-03-14 |
| 1134518251 | Susan Niles | Nurse Practitioner | 931 Highland Blvd, Bozeman, MT 59715-6911 | 2015-01-13 |
| Street Address |
19428 I-45 NORTH |
| City | SPRING |
| State | TX |
| Zip Code | 77373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366948903 | Kelly Buckholz Smallbeck | Specialist/Technologist | 19428 I-45 North, Spring, TX 77373 | 2018-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669030664 | Patricia Dian Gonzalez | Counselor | 823 Liberty Springs Way, Spring, TX 77373 | 2019-06-04 |
| 1477025237 | 2020 Vision, Pllc | Optometrist | 25640 Kuykendahl Rd, Suite H, Spring, TX 77373 | 2018-12-18 |
| 1275014425 | Tamara Allen | Registered Nurse | 23442 Azalea Hill Trail, Spring, TX 77373 | 2018-08-26 |
| 1194233965 | Next Level Mv LLC | Clinic/Center | 25750 Kuykendahl Rd, Ste A, Spring, TX 77373 | 2018-01-16 |
| 1164935359 | Stephanie Gotcher | Obstetrics & Gynecology | 19740 I- 45 North, Spring, TX 77373 | 2017-11-09 |
| 1003338930 | Honor and Peace Assisted Living Pllc | Nursing Care | 25710 Long Hill Lane, Spring, TX 77373 | 2017-07-12 |
| 1053854539 | Northside Surgical Assistants | Specialist/Technologist, Other | 24506 Fort Path Dr, Spring, TX 77373 | 2016-11-30 |
| 1376926279 | Hklp,pllc | Dentist | 19380 I-45, Suite #110, Spring, TX 77373 | 2015-07-09 |
| 1316339062 | Beyond Eye Care Pllc | Preferred Provider Organization | 25510 Buffalo Springs Ct, Spring, TX 77373 | 2015-03-04 |
| 1386059814 | Britton Legacy Enterprises, Inc | Home Health | 26029 Aldine Westfield Rd Ste 206, Spring, TX 77373 | 2014-06-23 |
| Find all providers in zip 77373 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034280 | Christopher Michael Stack | Specialist/Technologist | 1906 Wickburn Dr, Spring, TX 77386-1635 | 2020-02-05 |
| 1891257366 | Nicole Leah Spitzenberger | Specialist/Technologist | 19226 Country Village Dr, Spring, TX 77388-3055 | 2019-04-03 |
| 1912496589 | Hunt Maddox Whitten | Specialist/Technologist | 4362 Louetta Rd, Spring, TX 77388-4411 | 2018-05-09 |
| 1326540576 | Mariah Mitchell | Specialist/Technologist | 638 Manchester Trail Dr, Spring, TX 77373-8293 | 2018-03-04 |
| 1588105753 | Stephanie Lopez | Specialist/Technologist | 21034 Kenna Cove Ln, Spring, TX 77379-8478 | 2017-03-20 |
| 1144761206 | Chad Miller | Specialist/Technologist | 31433 Longwood Park Ln, Spring, TX 77386-4312 | 2017-03-09 |
| 1184160087 | Kelli Lowe | Specialist/Technologist | 17114 Park Lodge Dr, Spring, TX 77379-4493 | 2017-01-16 |
| 1003359431 | Robinetta Hudson | Specialist/Technologist | 23638 Jasmine Terrace Dr, Spring, TX 77373-8038 | 2016-12-03 |
| 1982067682 | Christopher Grasty | Specialist/Technologist | 17718 W Strack Dr, Spring, TX 77379-8374 | 2016-03-30 |
| 1083903223 | Alex Ager | Specialist/Technologist | 19428 North Fwy # I45, Spring, TX 77373-2910 | 2011-03-28 |
| Find all providers in SPRING | ||||
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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.