SUSAN L BOHANON (NPI# 1548540917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548540917 |
| Entity Type | Individual |
| Full Name | SUSAN L BOHANON |
| Credential | R.N. |
| Practice Address |
90 Yum Yum Rd Somerville TN 38068-4541 |
| Mailing Address |
780 Glade Springs Dr Somerville TN 38068-4510 |
| Practice Telephone | 9014655243 |
| Mailing Telephone | 9014659373 |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN0000069158 | TN | Nursing Service Providers |
| Street Address |
90 YUM YUM RD |
| City | SOMERVILLE |
| State | TN |
| Zip Code | 38068-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417945502 | David Shane Rasner | Dentist | 90 Yum Yum Rd, Somerville, TN 38068-4541 | 2005-10-12 |
| 1235423385 | Tracie D Perry | Registered Nurse | 90 Yum Yum Rd, Somerville, TN 38068-4541 | 2011-06-07 |
| 1831377910 | Meredith Fawcett | Nurse's Aide | 90 Yum Yum Rd, Somerville, TN 38068-4541 | 2008-01-31 |
| 1649458720 | Cella S Jackson | Nurse's Aide | 90 Yum Yum Rd, Somerville, TN 38068-4541 | 2008-01-31 |
| 1174700389 | Teresa L Wilkerson | Registered Nurse | 90 Yum Yum Rd, Somerville, TN 38068-4541 | 2008-01-30 |
| 1447373162 | Betty Jean Parks | Registered Nurse | 90 Yum Yum Rd, Somerville, TN 38068-4541 | 2007-04-09 |
| 1568599058 | Stephanie Grae Cox | Registered Nurse | 90 Yum Yum Rd, Somerville, TN 38068-4541 | 2007-02-28 |
| 1811025315 | Andrea Kathryn Kerr | Registered Nurse | 90 Yum Yum Rd, Somerville, TN 38068-4541 | 2007-02-28 |
| 1821133125 | Gwendolyn E Blayde | Registered Nurse | 90 Yum Yum Rd, Somerville, TN 38068-4541 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063850477 | Paula Lenore Walker | Nurse Practitioner | 25 Woodbridge, Suite A, Somerville, TN 38068 | 2013-06-07 |
| 1902026107 | Alliance Health Services, Inc | Home Health | 201 Lakeview Dr, Suite B, Somerville, TN 38068 | 2007-04-27 |
| 1730239997 | State of Tennessee | Public Health or Welfare | 90 Yum Yum Road, Somerville, TN 38068 | 2007-01-11 |
| 1366514697 | Cynthia D Elder | Pharmacy Technician | 13092 North Main Street, Summerville, TN 38068 | 2006-11-14 |
| 1275612053 | Bessie M Hoskins | Pharmacy Technician | 13092 North Main, Somerville, TN 38068 | 2006-11-03 |
| 1245319797 | Deborah Louise Davis | Pharmacy Technician | 8885 La Grange Rd, Somerville, TN 38068 | 2006-11-03 |
| 1891876868 | John David Cima | Dentist | 13190 N. Main St, Somerville, TN 38068 | 2006-10-18 |
| 1750478277 | Marie Middlecoff Stevens | Pharmacist | 13092 N Main Street, Super Drugs, Somerville, TN 38068 | 2006-10-06 |
| 1588675276 | Wilder Clinic | Family Medicine | 201 Lake View, Ste A Wilder Clinic, Sunerville, TN 38068 | 2006-08-10 |
| 1588687644 | Freds Stores of Tennessee Inc | Pharmacy | Highway 64 West, Somerville, TN 38068 | 2006-07-26 |
| Find all providers in zip 38068 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164939484 | Erik James Westhaver | Registered Nurse | 26 Central St, Somerville, MA 02143-2827 | 2018-01-08 |
| 1235423385 | Tracie D Perry | Registered Nurse | 90 Yum Yum Rd, Somerville, TN 38068-4541 | 2011-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023166 | Stephanie Blythe Korn | Registered Nurse | 9229 Fox Run Dr, Brentwood, TN 37027-7443 | 2020-08-12 |
| 1417565169 | Belinda Mcnair | Registered Nurse | 4865 Sagewood Dr, Memphis, TN 38116-7953 | 2020-07-20 |
| 1457903098 | Latonya Ivy | Registered Nurse | 50 N Dunlap St Fl 4, Memphis, TN 38103-2800 | 2019-07-14 |
| 1093280968 | Mary Elizabeth Best | Registered Nurse | 2734 Best Rd, Maryville, TN 37803-2633 | 2018-10-08 |
| 1992299234 | Angela Dawn Haynes | Registered Nurse | 10825 Hwy 64w, Bolivar, TN 38008 | 2018-06-20 |
| 1639668775 | Lisa Ann Brown | Registered Nurse | 168 Ekvall Ln, Dunlap, TN 37327-7731 | 2018-05-03 |
| 1710494117 | Lydia Ellen Hicks | Registered Nurse | 214 W. Longview Drive, Portland, TN 37148 | 2018-01-08 |
| 1588195549 | Rosza Branson | Registered Nurse | 1202 Laurel Bluff Rd, Kingston, TN 37763-6022 | 2017-03-22 |
| 1366984841 | Krystal Lynn Pulley | Registered Nurse | 330 Pageant Lane, Clarksville, TN 37040 | 2016-11-15 |
| 1245780451 | Chasity Jett | Registered Nurse | 1242 Knowling Loop, Talbott, TN 37877-3307 | 2016-10-12 |
| Find all providers with the same taxonomy | ||||
| City | SOMERVILLE |
| Zip Code | 38068 |
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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.