MRS. SUSAN CRUZ (NPI# 1477094209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477094209 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN CRUZ |
| Credential | FNP |
| Practice Address |
540 W 15th St Hereford TX 79045-2820 |
| Mailing Address |
208 Windsor St Hereford TX 79045-4634 |
| Practice Telephone | 8063647512 |
| Mailing Telephone | 8063465184 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP133522 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972915056 | Susan Cruz | Specialist/Technologist | 8607 Imperial Hwy Ste 208, Downey, CA 90242-3947 | 2014-05-23 |
| 1508403718 | Susan Cruz | Social Worker | 5620 Smith Station Rd, Fredericksburg, VA 22407-9311 | 2019-12-06 |
| 1063743961 | Susan Lewis Cruz | Nurse Practitioner | 30 Chase Ave, Workplace Health, Waterville, ME 04901-4624 | 2010-01-18 |
| Street Address |
540 W 15TH ST |
| City | HEREFORD |
| State | TX |
| Zip Code | 79045-2820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568454403 | Deaf Smith County Hospital District | General Acute Care Hospital | 540 W 15th St, Hereford, TX 79045-2820 | 2005-08-17 |
| 1063029544 | Kylie Joan Culp | Nurse Practitioner | 540 W 15th St, Hereford, TX 79045-2820 | 2020-09-28 |
| 1134770043 | Michelle Lynn Williams | Nurse Practitioner | 540 W 15th St, Hereford, TX 79045-2820 | 2019-09-23 |
| 1851940266 | Barfoot Family Practice | Family Medicine | 540 W 15th St, Hereford, TX 79045-2820 | 2019-09-09 |
| 1285192104 | Marinda Dawn Newkirk | Nurse Practitioner | 540 W 15th St, Hereford, TX 79045-2820 | 2019-03-10 |
| 1992275820 | Marka Shannon Dempsey | Dietitian, Registered | 540 W 15th St, Hereford, TX 79045-2820 | 2018-12-04 |
| 1053887158 | Trevor Rohm Md Pa | Hospitalist | 540 W 15th St, Hereford, TX 79045-2820 | 2018-10-17 |
| 1225511470 | Trevor Rohm Md Pa | General Acute Care Hospital | 540 W 15th St, Hereford, TX 79045-2820 | 2018-09-13 |
| 1003394560 | Lauren Brooke Jones | Nurse Practitioner | 540 W 15th St, Hereford, TX 79045-2820 | 2018-08-06 |
| 1366928640 | Jennifer Louise Heiman | Nurse Practitioner | 540 W 15th St, Hereford, TX 79045-2820 | 2018-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386848471 | Strategic Care of Hereford, LLC. | Skilled Nursing Facility | 231 Kingwood Street, Hereford, TX 79045 | 2007-06-12 |
| 1700965431 | Rick Roden Dds Inc | Dentist | 129 W 5th, Hereford, TX 79045 | 2006-11-03 |
| 1417054917 | Cvs Pharmacy Inc | Pharmacy | 101 West Park Ave, Hereford, TX 79045 | 2006-09-20 |
| 1396737466 | Carolyn S Jansa | Nurse Practitioner | 540 W. 15th Street, Hereford, TX 79045 | 2005-08-16 |
| 1376941682 | Kameshkumar Patel | Dentist | 701 N 25 Mile Ave, Smile Accent Pllc, Hereford, TX 79045 | 2014-12-18 |
| 1174782825 | Hereford Pharmacy, LLC | Pharmacy | 809 S 25 Mile Ave, Hereford, TX 79045 | 2008-06-07 |
| 1447392303 | Mary Jessica Mertins | Nurse Practitioner | 540 W. 15th Street, Hereford, TX 79045 | 2007-02-13 |
| 1053301234 | Carmen B Flood | Nurse Practitioner | 540 W. 15th Street, Hereford, TX 79045 | 2005-10-27 |
| 1902898075 | Howard R Johnson | Family Medicine | 540 W. 15th Street, Hereford, TX 79045 | 2005-08-16 |
| 1376869560 | The Ranch @ La Plata, LLC | Community/Behavioral Health | 121 West Fourth, Hereford, TX 79045-0000 | 2010-04-13 |
| Find all providers in zip 79045 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029544 | Kylie Joan Culp | Nurse Practitioner | 540 W 15th St, Hereford, TX 79045-2820 | 2020-09-28 |
| 1134770043 | Michelle Lynn Williams | Nurse Practitioner | 540 W 15th St, Hereford, TX 79045-2820 | 2019-09-23 |
| 1003394560 | Lauren Brooke Jones | Nurse Practitioner | 540 W 15th St, Hereford, TX 79045-2820 | 2018-08-06 |
| 1366928640 | Jennifer Louise Heiman | Nurse Practitioner | 540 W 15th St, Hereford, TX 79045-2820 | 2018-07-19 |
| 1205354578 | Mary Ellen Briones | Nurse Practitioner | 540 W 15th St, Hereford, TX 79045-2820 | 2017-09-06 |
| 1457801599 | Amy Stovall | Nurse Practitioner | 125 W Park Ave, Hereford, TX 79045-4201 | 2016-10-13 |
| 1871965285 | Allison Hall Bromwell | Nurse Practitioner | 540 W 15th St, Hereford, TX 79045-2820 | 2015-10-25 |
| 1629417431 | Julie Marie Hutchinson | Nurse Practitioner | 10524 E Highway 92, Hereford, AZ 85615 | 2013-06-14 |
| 1700138328 | Lorena Warren | Nurse Practitioner | 10524 E Highway 92, Hereford, AZ 85615-8371 | 2012-10-05 |
| 1053663781 | Levina Christine Herr | Nurse Practitioner | 125 W Park Ave, Hereford, TX 79045-4201 | 2012-10-04 |
| Find all providers in HEREFORD | ||||
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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.