SUSAN JANE LIES (NPI# 1528556982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528556982 |
| Entity Type | Individual |
| Full Name | SUSAN JANE LIES |
| Credential | MSN, RN |
| Practice Address |
707 Cedar St South Bend IN 46617-2054 |
| Mailing Address |
28900 State Road 2 New Carlisle IN 46552-9742 |
| Practice Telephone | 5743354694 |
| Mailing Telephone | 5748071272 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
28209958A | IN | Nursing Service Providers |
| Street Address |
707 CEDAR ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326024431 | Gretchen Lynn Neff | Genetic Counselor, MS | 707 Cedar St, Suite 405, South Bend, IN 46617-2054 | 2005-12-20 |
| 1831387786 | Cardiology Care, P.C. | Specialist | 707 Cedar St, Ste 175, South Bend, IN 46617-2054 | 2007-10-04 |
| 1417161951 | Saint Joseph Regional Medical Center - South Bend Campus | Durable Medical Equipment & Medical Supplies | 707 Cedar St, Suite 150, Image Recovery, South Bend, IN 46617-2054 | 2007-05-10 |
| 1063438117 | Urology Associates of South Bend, PC | Urology | 707 Cedar St, Suite #450, South Bend, IN 46617-2054 | 2006-07-14 |
| 1073569174 | Radiation Oncology Associates of Michiana PC | Radiology | 707 Cedar St, South Bend, IN 46617-2054 | 2006-05-26 |
| 1972552636 | Howard R Engel | Internal Medicine | 707 Cedar St, Suite 350, South Bend, IN 46617-2054 | 2006-05-09 |
| 1386609527 | Urology Associates of South Bend, PC | Durable Medical Equipment & Medical Supplies | 707 Cedar St, Suite #450, South Bend, IN 46617-2054 | 2006-04-19 |
| 1306826110 | Daniel Eric Scherb | Internal Medicine | 707 Cedar St, Ste 175, South Bend, IN 46617-2054 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447873682 | Shelley E Kestler | Registered Nurse | One Memorial Square, Suite 2200, Greenfield, IN 46140-1378 | 2020-05-22 |
| 1588175921 | Darla Jean Healy | Registered Nurse | 6330 E 75th St Ste 174, Indianapolis, IN 46250-2781 | 2017-10-12 |
| 1417474214 | Sherry Lynn Doherty | Registered Nurse | 1855 S Main St Ste C, Goshen, IN 46526-4853 | 2017-08-23 |
| 1588184139 | Kim Diaz | Registered Nurse | 5717 S Anthony Blvd Ste 200, Fort Wayne, IN 46806-3300 | 2017-06-26 |
| 1679939078 | Emily Walker | Registered Nurse | 100 Tharp Street Suite B, Washington, IN 47501 | 2016-01-14 |
| 1235502774 | Hook-superx, L.L.C. | Registered Nurse | 600 E Boonville New Harmony Rd, Evansville, IN 47725 | 2015-11-05 |
| 1053732552 | Tracy Michelle Tucker | Registered Nurse | 2307 Laporte Ave Ste 8, Valparaiso, IN 46383-6997 | 2013-12-30 |
| 1144478165 | Linda Darlene Stroud | Registered Nurse | 1500 E Michigan St, Indianapolis, IN 46201-3079 | 2008-09-03 |
| 1235320540 | Diabetes Association of St Joseph County Inc | Registered Nurse | 6910 North Main St, Building 9, Granger, IN 46530 | 2007-08-05 |
| 1043341696 | Margie Anne Hull | Registered Nurse | 1111 Middle Dr, Nu #446d, Indianapolis, IN 46202-5243 | 2007-03-07 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
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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.