SUSANNA MOBERLY (NPI# 1568843316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568843316 |
| Entity Type | Individual |
| Full Name | SUSANNA MOBERLY |
| Credential | APRN |
| Practice Address |
1221 S Broadway Lcsb-5 Lexington KY 40504-2701 |
| Practice Telephone | 8592584450 |
| Practice Fax Number | 8592584039 |
| Mailing Telephone | 8592584450 |
| Mailing Fax Number | 8592584039 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3009443 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1221 S BROADWAY LCSB-5 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060779 | Nancy L. Burandt | Anesthesiology | 1221 S Broadway, Lexington, KY 40504-2701 | 2005-06-01 |
| 1578197901 | Ashlee N Swinford | Nurse Anesthetist, Certified Registered | 1221 S Broadway, Lexington, KY 40504-2701 | 2020-02-25 |
| 1104459569 | Sarah M Justice | Nurse Anesthetist, Certified Registered | 1221 S Broadway, Lexington, KY 40504-2701 | 2020-02-13 |
| 1447803754 | New Lexington Clinic, Psc | Dietitian, Registered | 1221 S Broadway, Lexington, KY 40504-2701 | 2019-07-17 |
| 1346724473 | New Lexington Clinic Psc | Internal Medicine | 1221 S Broadway, Lexington, KY 40504-2701 | 2018-09-25 |
| 1790290831 | Ashley B Arrington | Nurse Anesthetist, Certified Registered | 1221 S Broadway, Lexington, KY 40504-2701 | 2017-12-12 |
| 1306365762 | Kelsey Alexandra Woods | Nurse Practitioner | 1221 S Broadway, Lexington, KY 40504-2701 | 2017-09-16 |
| 1013466523 | Lauren Dice Smith | Nurse Practitioner | 1221 S Broadway, Lexington, KY 40504 | 2016-09-26 |
| 1073061768 | Krista Johnson | Nurse Practitioner | 1221 S Broadway, Lexington, KY 40504-2701 | 2016-09-12 |
| 1770945560 | Bethany Borders | Dietitian, Registered | 1221 S Broadway, Lexington, KY 40504-2701 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| 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 |
|---|---|---|---|---|
| 1518574235 | Margaret E Lambert | Nurse Practitioner | 2241 Abbeywood Rd, Lexington, KY 40515-1157 | 2020-09-27 |
| 1811526718 | Ashley Conn | Nurse Practitioner | 3050 Helmsdale Pl Apt 5107, Lexington, KY 40509-2452 | 2020-04-03 |
| 1821640483 | Tracy Elizabeth Keisling | Nurse Practitioner | 425 Oxford Rd, Lexington, SC 29072-2270 | 2019-07-14 |
| 1740841345 | Amy Lynn Jennings | Nurse Practitioner | 1760 Nicholasville Rd Ste 302, Lexington, KY 40503-1472 | 2019-06-25 |
| 1609439397 | Kayla Elizabeth Lewis Marcum | Nurse Practitioner | 3101 Richmond Rd Ste 202, Lexington, KY 40509-1525 | 2019-04-17 |
| 1538632609 | Erin Soper | Nurse Practitioner | 4328 Ridgewater Dr, Lexington, KY 40515-5200 | 2019-01-10 |
| 1841761749 | Andrea Kostos Robbins | Nurse Practitioner | 317 Silver Creek Way, Lexington, KY 40511-8624 | 2018-12-17 |
| 1598251605 | Lynn Marceline Beckett-lowe | Nurse Practitioner | 124 Pink Camellia Lane, Lexington, SC 29072 | 2018-07-02 |
| 1649769704 | Alecia Kristy Mckellar | Nurse Practitioner | 132 Mclee Road, Lexington, SC 29073 | 2018-05-04 |
| 1083101240 | Man O War Urgent Care LLC | Nurse Practitioner | 4097 Nichols Park Dr Ste 108, Lexington, KY 40503 | 2018-04-13 |
| Find all providers in LEXINGTON | ||||
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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.