MS. SUZANNE N. BACKENSTOSE


Address: 1604 Rock Prairie Road, College Station Medical Center, College Station, TX 77845-8345
Phone: 9796805393

MS. SUZANNE N. BACKENSTOSE (NPI# 1447266457) 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) 1447266457
Entity Type Individual
Full Name MS. SUZANNE N. BACKENSTOSE
Credential NNP
Practice Address 1604 Rock Prairie Road
College Station Medical Center
College Station
TX 77845-8345
Mailing Address 1301 Concord Ter
Sunrise
FL 33323-2843
Practice Telephone 9796805393
Mailing Telephone 8002433839
Enumeration Date 2006-07-31
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
463684 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1604 ROCK PRAIRIE ROAD
COLLEGE STATION MEDICAL CENTER
City COLLEGE STATION
State TX
Zip Code 77845-8345

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NPI Name Taxonomy Address Enumeration
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1003302530 Kaye Lynn Tseng Registered Nurse 4030 Hightway 6 South, College Station, TX 77845 2018-07-09
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1912409954 H-e-b, Lp Clinical Medical Laboratory 11675 Fm 2154, College Station, TX 77845 2018-03-06
1871095745 Gregory Nicholas Perry Physical Therapist 4091 Sh 6 South, Suite B, College Station, TX 77845 2018-03-06
1811435639 Michael Patke Student in an Organized Health Care Education/Training Program 10613 Deer Run Dr., College Station, TX 77845 2017-02-01
1558810473 Sara Beth Williamson Nurse Practitioner 4401 State Hwy 6 S, College Station, TX 77845 2016-10-04
1881067379 Kieshia Lewis Occupational Therapy Assistant 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 2015-11-05
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Taxonomy Information

Taxonomy Code 363LN0005X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679584635 Sandra Kay Bradley Nurse Practitioner 1604 Rock Prairie Rd, College Station Medical Center-nicu, College Station, TX 77845-8395 2006-08-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1538793161 Torey Shay Cortez Nurse Practitioner 762 Annette Dr, Fort Worth, TX 76108-4562 2020-02-21
1356672679 Margaret Mary Brown Nurse Practitioner 2322 Sycamore Trl, Round Rock, TX 78664-7766 2010-01-26
1245330018 Perlita Molina Sambrano-tandoc Nurse Practitioner 602 East Indiana Avenue, Lubbock, TX 79415 2006-09-22
1013923051 Gina Marie Harris Nurse Practitioner 601 E 15th St # L502, Austin, TX 78701-1930 2006-07-31
1306889977 Laura Jean Isaacson Nurse Practitioner 1819 La Branch St, Houston, TX 77002-8319 2006-06-13
1538124086 Michael Lalli Nurse Practitioner 1303 Pennsylvania Ave, Fort Worth, TX 76104-2122 2006-04-19
1447213293 Donna R Enderle Nurse Practitioner Baylor Hospital - 3 Hob, 3500 Gaston Avenue, Dallas, TX 75248 2006-04-11
1922061266 Mark Vollmer Nurse Practitioner 2511 Burlington Blvd, Dallas, TX 75211-5322 2006-04-08
1609482884 Tiffani Christensen Nurse Practitioner 801 7th Ave, Fort Worth, TX 76104-2796 2020-09-22
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Competitor

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City COLLEGE STATION
Zip Code 77845

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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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