MS. SUSAN M. CONNER (NPI# 1386845907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386845907 |
| Entity Type | Individual |
| Full Name | MS. SUSAN M. CONNER |
| Credential | CPNP |
| Practice Address |
Fairfax Road At Virginia Street Salt Lake City UT 84103-4399 |
| Mailing Address |
3752 Mountain Valley Way Sandy UT 84092-6059 |
| Practice Telephone | 8015363517 |
| Practice Fax Number | 8015363549 |
| Mailing Telephone | 8015363517 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
202925-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730335571 | Susan Christine Conner | Nurse Practitioner | 1765 E Lincoln Rd, Kokomo, IN 46902-3993 | 2008-08-12 |
| 1073059242 | Susan Conner | Speech-Language Pathologist | 1117 E South St, Hastings, NE 68901-6443 | 2017-01-12 |
| Street Address |
FAIRFAX ROAD AT VIRGINIA STREET |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84103-4399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104881499 | Jacques L. D'astous | Orthopaedic Surgery | Fairfax Road At Virginia Street, Shriners Hospitals for Children, Salt Lake City, UT 84103-4399 | 2006-04-19 |
| 1861715559 | Richard Scott Hosie | Specialist | Fairfax Road At Virginia Street, Salt Lake City, UT 84103-4399 | 2010-03-09 |
| 1033432760 | Laura Lee Barnett | Speech-Language Pathologist | Fairfax Road At Virginia Street, Salt Lake City, UT 84103-4399 | 2010-03-09 |
| 1790875300 | Kathleen Ann Murray | Radiology | Fairfax Road At Virginia Street, Shriners Hosptials for Children, Salt Lake City, UT 84103-4399 | 2006-10-13 |
| 1053408708 | Marcella Rae Woiczik | Orthopaedic Surgery | Fairfax Road At Virginia Street, Shriners Hosptials for Children, Salt Lake City, UT 84103-4399 | 2006-10-06 |
| 1366407488 | Kristen L. Carroll | Orthopaedic Surgery | Fairfax Road At Virginia Street, Shriners Hospital for Children, Salt Lake City, UT 84103-4399 | 2006-04-20 |
| 1194780221 | Stephen D. Santora | Orthopaedic Surgery | Fairfax Road At Virginia Street, Shriners Hospitals for Children, Salt Lake City, UT 84103-4399 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932509213 | Paul David Rauch | Specialist/Technologist | 701 De Soto Street, Salt Lake City, UT 84103 | 2014-08-24 |
| 1073866695 | University Neuropsychiatric Institute | Community Based Residential Treatment Facility, Mental Illness | 252 South 500 East, Salt Lake City, UT 84103 | 2012-10-19 |
| 1114285558 | Christopher John Murphy | Student in an Organized Health Care Education/Training Program | 585 1st Ave, Salt Lake City, UT 84103 | 2012-04-23 |
| 1447573266 | Peter Louis Kapelke | Specialist | Fairfax Rd. @ Virginia St., Shriners Hospital Salt Lake City, Salt Lake City, UT 84103 | 2010-03-08 |
| 1578763389 | Susana Auhangamea Kinikini | Nurse Practitioner | Fairfax @ Virginia Street, Salt Lake City, UT 84103 | 2007-07-19 |
| 1609082320 | Cynthia N Shumway | Social Worker | 580 10th Avenue, Salt Lake City, UT 84103 | 2007-05-16 |
| 1811010655 | Kent Walker Farnsworth | Obstetrics & Gynecology | 1509 Federal Heights Drive, Salt Lake City, UT 84103 | 2007-04-09 |
| 1912082421 | Eloise Agnes Maughan | Nurse Practitioner | 324 8th Ave, Lds Hospital, Salt Lake City, UT 84103 | 2006-10-25 |
| 1407968464 | Kit D Smith | Anesthesiology | 359 - 8th Avenue, Asc, Salt Lake City, UT 84103 | 2006-08-31 |
| 1396854113 | Lisa H Carter | Physical Therapist | 1285 East Fairfax Road, Salt Lake City, UT 84103 | 2006-08-29 |
| Find all providers in zip 84103 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841707569 | Deeann Cervantez | Nurse Practitioner | 100 N Mario Capecchi Dr Ste 3550, Salt Lake City, UT 84113-1103 | 2018-01-03 |
| 1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
| 1720452782 | Jane Garff Gardiner | Nurse Practitioner | 347 N Quince St, Salt Lake City, UT 84103-1641 | 2015-11-13 |
| 1982889358 | Deborah M Lener | Nurse Practitioner | 964 Laird Ave, Salt Lake City, UT 84105-1819 | 2008-01-04 |
| 1295850626 | Stacy Ann Bond-bero | Nurse Practitioner | 4000 S 700 E Ste 10, Salt Lake City, UT 84107-2580 | 2007-03-21 |
| 1376183582 | Claire Ann Goeke | Nurse Practitioner | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2020-01-15 |
| 1679036263 | Katelyn Ann Newton | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-04-10 |
| 1215476197 | Stacy Madden | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2017-02-13 |
| 1447665484 | Anne Gallegos Harvey | Nurse Practitioner | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-06-28 |
| 1841628666 | Robert Sylvester | Nurse Practitioner | 1140 E 3900 S, Suite 360, Salt Lake City, UT 84124-1228 | 2013-10-15 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84103 |
Please comment or provide details below to improve the information on MS. SUSAN M. CONNER.
| 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.