SUSAN LEE (NPI# 1447213350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447213350 |
| Entity Type | Individual |
| Full Name | SUSAN LEE |
| Other Name | SUSAN SWEENEY |
| Credential | NNP |
| Practice Address |
1655 Beam Ave Suite 302 Maplewood MN 55109-1163 |
| Mailing Address |
Po Box 25483 Woodbury MN 55125-0483 |
| Practice Telephone | 6512327831 |
| Practice Fax Number | 6512327826 |
| Mailing Telephone | 6513417199 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
R166902-6 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811534878 | Susan Lee | Pharmacist | 9362 Canterbury Ln, Garden Grove, CA 92841-3415 | 2019-12-09 |
| 1477074813 | Susan Moon Lee | Dentist | 7540 Orangethorpe Ave Ste A1, Buena Park, CA 90621 | 2017-07-06 |
| 1003230657 | Susan Lee | Social Worker | 12086 Ft.caroline Rd Suite 401, Jacksonville, FL 32225-1536 | 2014-02-18 |
| 1134564453 | Susan Ming Lee | Anesthesiology | 521 Parnassus Ave Rm C455, Box 0648, San Francisco, CA 94143-2206 | 2013-04-30 |
| 1144453267 | Susan S Lee | Student in an Organized Health Care Education/Training Program | 1700 Oak Ave Ste 7, Muskegon, MI 49442-2407 | 2009-08-25 |
| 1740422724 | Susan Lee | Physical Therapist | 1709 Avenue X, Brooklyn, NY 11235-3531 | 2009-04-06 |
| 1417195017 | Susan Lee | Dentist | 618 W Jones St, Suite 104, Raleigh, NC 27603-1409 | 2009-02-04 |
| 1497993083 | Susan I Lee | Speech-Language Pathologist | 44444 Paul's Crossing Rd., Richfield, NC 28137 | 2009-02-04 |
| 1194979054 | Susan Elaine Lee | Nurse Practitioner | 555 Convention Center Boulevard, New Orleans, LA 70115-1649 | 2008-11-05 |
| 1710147822 | Susan Jane Lee | Physical Therapist | 5645 Saint Claire Way, Citrus Heights, CA 95621-7339 | 2008-06-11 |
| Street Address |
1655 BEAM AVE SUITE 302 |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942297171 | Robert Adams Gaertner | Urology | 1655 Beam Ave, Suite 206, Maplewood, MN 55109-1163 | 2005-10-03 |
| 1679028617 | Alicia Luftman | Dietitian, Registered | 1655 Beam Ave, Suite 302, Maplewood, MN 55109-1163 | 2016-08-19 |
| 1740668102 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 1655 Beam Ave, Suite 308, Maplewood, MN 55109-1163 | 2015-05-18 |
| 1770900797 | Allergy and Asthma Center of Minnesota Pllc | Allergy & Immunology | 1655 Beam Ave, Suite 108, Maplewood, MN 55109-1163 | 2014-03-27 |
| 1871858639 | Ashley Marie Zilles | Surgery | 1655 Beam Ave, Maplewood, MN 55109-1163 | 2012-07-09 |
| 1700163474 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 1655 Beam Ave, Ste. 308, Maplewood, MN 55109-1163 | 2011-11-09 |
| 1114200508 | Ryan P Tully | Physical Therapist | 1655 Beam Ave, Maplewood, MN 55109-1163 | 2011-09-22 |
| 1477854404 | Kaitlin Ileen Thompson | Dietitian, Registered | 1655 Beam Ave, #330, Maplewood, MN 55109-1163 | 2010-11-08 |
| 1730416959 | Lindsey Kay Syverson | Dietitian, Registered | 1655 Beam Ave, #302, Maplewood, MN 55109-1163 | 2009-11-09 |
| 1295977395 | Pediatric and Young Adult Medicine, Pa | Clinic/Center | 1655 Beam Ave, Suite 108, Maplewood, MN 55109-1163 | 2009-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629176136 | Ann Marie Baker | Nurse Practitioner | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2006-09-20 |
| 1730141946 | Jill E Pagenkopf | Nurse Practitioner | 1655 Beam Ave, Suite 302, Maplewood, MN 55109-1163 | 2006-04-04 |
| 1598725624 | Terri L Narow | Nurse Practitioner | 1655 Beam Ave, Suite 302, Maplewood, MN 55109-1163 | 2006-03-24 |
| 1306805312 | Rhonda S Fender | Nurse Practitioner | 1655 Beam Ave, Suite 302, Maplewood, MN 55109-1163 | 2006-03-20 |
| 1346209343 | Debra Ann Gutzman | Nurse Practitioner | 1655 Beam Ave, Suite 302, Maplewood, MN 55109-1163 | 2006-03-20 |
| 1649248352 | Joelle I Knopf | Nurse Practitioner | 1655 Beam Ave, Suite 302, Maplewood, MN 55109-1163 | 2006-03-09 |
| 1609844315 | Sharon P Roznick | Nurse Practitioner | 1655 Beam Ave, Suite 302, Maplewood, MN 55109-1163 | 2006-03-09 |
| 1164490868 | Catherine M Oman | Nurse Practitioner | 1655 Beam Ave, Suite 302, Maplewood, MN 55109-1163 | 2006-03-09 |
| 1598733206 | Sandra Elaine Gerber | Nurse Practitioner | 1655 Beam Ave, Suite 302, Maplewood, MN 55109-1163 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346434461 | Debra L Lesslie | Nurse Practitioner | 347 North Smith Avenue, 70-505, Children's Specialty Clinic Nicu, St. Paul, MN 55102 | 2007-08-31 |
| 1568412922 | Sharron Thomson | Nurse Practitioner | Lakeview Hospital, 927 Churchill Street West, Stillwater, MN 55082 | 2006-05-10 |
| 1679541056 | Deborah J Barth | Nurse Practitioner | 3668 Pinecrest Ct, Eagan, MN 55123-1000 | 2006-03-10 |
| 1720056518 | Nicole E Riley | Nurse Practitioner | 14223 Arbre Ln N, Hugo, MN 55038-4449 | 2006-03-09 |
| 1003891144 | Tracy Suzanne Cousin | Nurse Practitioner | 1200 6th Avenue N, St Cloud, MN 56303 | 2005-12-13 |
| 1528678133 | Kathy Daniella Lopez Vasquez | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-08-07 |
| 1558970376 | Corin Mauldin | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-07-28 |
| 1912525197 | Devon Ratliff-crain | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-07-14 |
| 1891313862 | Kelli Dawn Guth | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-07-07 |
| 1225663768 | Amanda Elizabeth Olsen | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
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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.