MS. SUSAN GREEN DAVIS (NPI# 1396763876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396763876 |
| Entity Type | Individual |
| Full Name | MS. SUSAN GREEN DAVIS |
| Credential | PNP |
| Practice Address |
1 Childrens Pl Saint Louis MO 63110-1002 |
| Mailing Address |
660 S Euclid Ave C B 8116 Saint Louis MO 63110-1010 |
| Practice Telephone | 3142861264 |
| Practice Fax Number | 3144546225 |
| Mailing Telephone | 3142861264 |
| Mailing Fax Number | 3144546225 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
078234 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 423997907 | 05 | |
| IL | ENROLLED | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831742196 | Susan Ann Davis | Community/Behavioral Health | 362 Patton Ave, Cheyenne, WY 82007-1183 | 2019-07-16 |
| 1629639349 | Susan E Davis | Dentist | 707 Us Highway 24 N, Buena Vista, CO 81211-9863 | 2019-06-24 |
| 1639739980 | Susan Jean Davis | Psychiatry & Neurology | 4817 Medical Center Dr # 3a, Mckinney, TX 75069-1886 | 2019-06-18 |
| 1932768348 | Susan Rae Davis | Nurse Practitioner | 3800 S Ocean Dr Suite 209, Hollywood, FL 33019-6614 | 2019-06-10 |
| 1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
| 1568826493 | Susan Angeline Davis | Obstetrics & Gynecology | 2813 Hillcrest Ave, Augusta, GA 30909-3815 | 2016-04-06 |
| 1578928313 | Susan Melanie Davis | Counselor | 1254 Big Talk Ct, San Jose, CA 95120-3910 | 2015-12-21 |
| 1497126882 | Susan Kathryn Davis | Counselor | 2519 E Ellendale Ave, Dallas, OR 97338-9575 | 2015-10-12 |
| 1942605654 | Susan Davis | Registered Nurse | 634 Saint Marks St, Suite B, Redding, CA 96003-2553 | 2014-10-24 |
| 1528468022 | Susan Davis | Registered Nurse | 9648 Parramatta Pl, Highlands Ranch, CO 80130-7156 | 2014-09-03 |
| Street Address |
1 CHILDRENS PL |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476495 | William Lee Johnson | Pediatrics | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2005-06-09 |
| 1114527033 | Kristin Kueper | Dietitian, Registered | 1 Childrens Pl, Saint Louis, MO 63110-1081 | 2020-10-29 |
| 1609474055 | Courtney Tompkins | Audiologist | 1 Childrens Pl, Saint Louis, MO 63110-1081 | 2020-10-16 |
| 1164036851 | Andrea Bumb | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-09-01 |
| 1235741513 | Shannon Ries | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-08-19 |
| 1144832320 | Lacey Bender | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-08-19 |
| 1699386417 | Kristen Bagby | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-08-14 |
| 1720696115 | Abigail Patricia Klatch | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-07-21 |
| 1518575422 | St Louis Childrens Hospital | Clinical Medical Laboratory | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-07-16 |
| 1730707068 | Alyssa Lavalle | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689203390 | Kathleen Rippe Dowd | Nurse Practitioner | 59 Pointer Ln, Saint Louis, MO 63124-2018 | 2020-04-04 |
| 1871126391 | Kelsey Lonergan | Nurse Practitioner | 10915 Three Court Dr, Saint Louis, MO 63123-5959 | 2020-02-13 |
| 1003383324 | Jennifer Marie Jacobi | Nurse Practitioner | 1 Childrens Pl Fl 12, Saint Louis, MO 63110-1002 | 2018-10-24 |
| 1114381563 | Kathleen B Shaughnessy | Nurse Practitioner | 9580 Watson Rd, Ste A, Saint Louis, MO 63126-1539 | 2016-04-12 |
| 1396117636 | Erika Kircher | Nurse Practitioner | 518 Gray Ave, Saint Louis, MO 63119-3742 | 2015-10-27 |
| 1780007963 | Michelle Marie Dupont | Nurse Practitioner | 1465 South Grand Boulevard, Saint Louis, MO 63104 | 2014-01-24 |
| 1083924468 | Carrie Anne Thrasher | Nurse Practitioner | 3915 Watson Rd Ste 202, Saint Louis, MO 63109-1251 | 2010-10-19 |
| 1265768576 | Cheryl L Grave | Nurse Practitioner | 607 S New Ballas Rd Ste 2415, Saint Louis, MO 63141-8234 | 2009-10-20 |
| 1467639781 | Dana Joann Aronin | Nurse Practitioner | 77 Progress Parkway, Biomedical Systems, Saint Louis, MO 63110-1002 | 2008-01-29 |
| 1265643282 | Dawn Lee Garzon | Nurse Practitioner | 8888 Ladue Rd Ste 100, Saint Louis, MO 63124-2056 | 2007-05-24 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
Please comment or provide details below to improve the information on MS. SUSAN GREEN DAVIS.
| 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.