SUSAN TINA WALDT


Address: 512 Rosewood Road, Syracuse, NY 13209
Phone: 3154910181

SUSAN TINA WALDT (NPI# 1417103771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417103771
Entity Type Individual
Full Name SUSAN TINA WALDT
Credential LPN
Practice Address 512 Rosewood Road
Syracuse
NY 13209
Practice Telephone 3154910181
Mailing Telephone 3154910181
Enumeration Date 2008-08-18
Last Update Date 2008-08-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 270162-1 NY Nursing Service Providers

Office Location

Street Address 512 ROSEWOOD ROAD
City SYRACUSE
State NY
Zip Code 13209

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669938676 Tammy Theresa Lamanna Licensed Practical Nurse 313 Snowdale Drive, Syracuse, NY 13209 2019-02-14
1306313531 Kseniya Alekseyevna Lueck Student in an Organized Health Care Education/Training Program 890 State Fair Blvd, Syracuse, NY 13209 2018-10-25
1699051144 Cheryl L. Birkmier Speech-Language Pathologist 600 Gertrude Ave., Solvay High School, Solvay, NY 13209 2011-10-28
1346564085 Kathy Smith Licensed Practical Nurse 126 Hosmer Drive, Syracuse, NY 13209 2010-03-24
1932288222 West Side Physical Therapy, PC Clinic/Center 315 Bridge St, Solvay, NY 13209 2006-11-06
1912099821 Suzanne M Skibinski Physical Therapist 315 Bridge St, Solvay, NY 13209 2006-09-28
1336231240 Debra Ann Donohue Physical Therapist 315 Bridge St, Solvay, NY 13209 2006-09-28
1669564589 Caryn Lindsay Baker Physical Therapist 315 Bridge St, Solvay, NY 13209 2006-09-28
1982872669 Medisource Management, LLC Durable Medical Equipment & Medical Supplies 145 Dwight Park Cir, Syracuse, NY 13209-1005 2008-02-14
1356770556 Lisa Schepper Registered Nurse 332 Long Branch Rd, Syracuse, NY 13209-1008 2013-11-07
Find all providers in zip 13209

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053927848 Gwendolyn Jane Thomas Licensed Practical Nurse 139 Hayden Ave, Syracuse, NY 13204-1509 2020-09-17
1780200758 Stacey R Green Licensed Practical Nurse 707 Meadowbrook Dr, Syracuse, NY 13210-3113 2020-06-24
1033743539 Mindy Joy Cottrell Licensed Practical Nurse 515 Florida Rd, Syracuse, NY 13211-1220 2020-02-24
1205474772 Mary Kresser Licensed Practical Nurse 214 Lafayette Rd, Syracuse, NY 13205-2921 2019-12-16
1528602166 Rebecca Anne Snyder Licensed Practical Nurse 510 Greenwood Pl, Syracuse, NY 13210-2526 2019-11-06
1386286094 Wendolyn Alicia White Licensed Practical Nurse 304 Martin Luther King W, Syracuse, NY 13205-1023 2019-10-14
1609423516 Kortia Poole Licensed Practical Nurse 4574 Onondaga Blvd Apt 38, Syracuse, NY 13219-3308 2019-08-25
1649822826 Tyrone Lamont Hunter Licensed Practical Nurse 620 Erie Blvd W Ste 620erie, Syracuse, NY 13204-2445 2019-07-09
1265099378 Trina Leigh-marie Stearns Licensed Practical Nurse 525 Mosley Drive, Syracuse, NY 13206 2019-05-23
1699339242 Gia Ruffini Licensed Practical Nurse 212 South Terry Rd., Syracuse, NY 13219 2019-04-30
Find all providers in SYRACUSE

Competitor

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City SYRACUSE
Zip Code 13209

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Dataset Information

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.

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