SUE ELLEN BEACH (NPI# 1528080199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528080199 |
| Entity Type | Individual |
| Full Name | SUE ELLEN BEACH |
| Credential | NP |
| Practice Address |
904 5th Ave Ne Jamestown ND 58401-3437 |
| Practice Telephone | 7012534000 |
| Practice Fax Number | 7012534040 |
| Mailing Telephone | 7012534000 |
| Mailing Fax Number | 7012534040 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2008-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R25054 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
904 5TH AVE NE |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568449114 | Debra A Geier | Internal Medicine | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2005-12-26 |
| 1437693009 | Mollie Merriam | Physical Therapist | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2016-12-15 |
| 1083021059 | Brittany Gannarelli | Physical Therapist | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2014-07-22 |
| 1275973091 | Justin Jackson Rosenau | Family Medicine | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2013-06-25 |
| 1144568767 | Amanda S Wiles | Nurse Practitioner | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2013-01-17 |
| 1124308465 | Sanford Medical Center Fargo | Surgery | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2011-08-18 |
| 1962797902 | Wendy L Hager | Dietary Manager | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2011-06-17 |
| 1447564729 | Erin A Nieland | Physical Therapist | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2010-07-29 |
| 1194045963 | Leann Marie Cimbura | Physical Therapist | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2010-06-03 |
| 1679891907 | Patrick Roger Walter | Physician Assistant | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2010-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| Find all providers in zip 58401 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588989008 | Jamestown Healthcare Clinic, LLC | Nurse Practitioner | 1417 N. Main St, Jamestown, KY 42629 | 2010-03-29 |
| 1801079660 | Lynda K Heath | Nurse Practitioner | 119 Hereford Curve Rd, Jamestown, KY 42629 | 2007-12-14 |
| 1548362502 | Kara A Falk | Nurse Practitioner | 721 A 1st Ave S, Jamestown, ND 58401-4723 | 2006-09-01 |
| 1346262839 | Patricia Dardis | Nurse Practitioner | 520 3rd Ave Nw, Jamestown, ND 58401-3016 | 2006-07-24 |
| 1841211125 | Rose Ann R Flick | Nurse Practitioner | 880 E 2nd St, Jamestown, NY 14701-3824 | 2006-07-21 |
| 1922062710 | Beverly A Szukis | Nurse Practitioner | 1538 Harbor Springs Rd, Jamestown, KY 42629-7970 | 2006-04-17 |
| 1871580506 | Susan K Jordan | Nurse Practitioner | 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335-1522 | 2005-09-27 |
| 1891781696 | Grenetta L Ritenour | Nurse Practitioner | 4940 Cottonville Rd Ste 100, Jamestown, OH 45335-1522 | 2005-09-27 |
| 1609873843 | Kathryn N. Westall | Nurse Practitioner | 20 Southwest Ave, Jamestown, RI 02835-1120 | 2005-07-01 |
| 1891392122 | Amy Jo Caldwell | Nurse Practitioner | 1684 Foote Avenue Ext, Jamestown, NY 14701-9385 | 2020-10-09 |
| Find all providers in JAMESTOWN | ||||
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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.