SUSAN D STAR (NPI# 1578014577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578014577 |
| Entity Type | Individual |
| Full Name | SUSAN D STAR |
| Credential | LPN |
| Practice Address |
4431 W 650 S Williamsport IN 47993-8273 |
| Practice Telephone | 2174972527 |
| Mailing Telephone | 2174972527 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 043040701 | IL | Nursing Service Providers |
| Street Address |
4431 W 650 S |
| City | WILLIAMSPORT |
| State | IN |
| Zip Code | 47993-8273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568782613 | Anita Michelle Rice | Occupational Therapy Assistant | Waters of Williamsport, 200 Short St., Williamsport, IN 47993 | 2010-06-10 |
| 1053404541 | Msd of Warren County | Local Education Agency (LEA) | 101 N Monroe Street, Williamsport, IN 47993 | 2006-10-02 |
| 1518328236 | Alexis Smith | Specialist/Technologist | 23 Willow Ct, Williamsport, IN 47993 | 2016-03-08 |
| 1689872426 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 200 Short St, Williamsport, IN 47993 | 2007-07-03 |
| 1396772612 | Steven Fischer | Family Medicine | 1731 Ringer Lane, Williamsport, IN 47993 | 2006-06-26 |
| 1538195391 | William Ringer | Family Medicine | 1731 Ringer Lane, Williamsport, IN 47993 | 2006-06-24 |
| 1659366151 | Quality Life Care, LLC | Skilled Nursing Facility | 200 Short St, Williamsport, IN 47993-1031 | 2005-09-12 |
| 1194044644 | Kevin D. Smith | Occupational Therapy Assistant | 200 Short St, Williamsport, IN 47993-1031 | 2010-05-24 |
| 1578940417 | Lafayette Pain Care, P.C. | Durable Medical Equipment & Medical Supplies | 3728 South Reed Road, Williamsport, IN 47993-1049 | 2015-04-29 |
| 1831167931 | Richard Thompson Gripe | Orthopaedic Surgery | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-03-14 |
| Find all providers in zip 47993 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720269129 | Sandra Carol Young | Licensed Practical Nurse | 28765 Westfall Rd, Williamsport, OH 43164-9611 | 2007-11-14 |
| 1457716854 | Katherine N Hastings | Licensed Practical Nurse | 1000 Commerce Park Dr, Suite 110, Williamsport, PA 17701-5475 | 2015-12-30 |
| 1003233438 | Lisa Engel | Licensed Practical Nurse | 1000 Commerce Park Dr, Suite 110, Williamsport, PA 17701-5475 | 2014-03-24 |
| 1518389121 | Julian Gombosi | Licensed Practical Nurse | 1100 Grampian Blvd, 4 South, Williamsport, PA 17701-1909 | 2014-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083455 | Tara Higgins | Licensed Practical Nurse | 4063 Presidio Cir, Indianapolis, IN 46235-9000 | 2020-11-08 |
| 1487265161 | Sherry Lynn Mcneely | Licensed Practical Nurse | 1296 N Gardner St, Scottsburg, IN 47170-1400 | 2020-08-14 |
| 1124652839 | Kimberly Nicole Brown | Licensed Practical Nurse | 6208 Raleigh Dr, Indianapolis, IN 46219-1623 | 2020-03-03 |
| 1326671967 | L'tia Lewis | Licensed Practical Nurse | 4608 Hawkeye Ct, Indianapolis, IN 46254-5920 | 2020-02-21 |
| 1346880341 | Demetrius Whitehead | Licensed Practical Nurse | 415 S Butler Ave, Indianapolis, IN 46219-7034 | 2020-01-08 |
| 1619522679 | Kamiaha Pinner | Licensed Practical Nurse | 11120 Fall Dr, Indianapolis, IN 46229-1969 | 2019-08-07 |
| 1407418817 | Kelli Ann Howard | Licensed Practical Nurse | 4324 Wimbleton Ct Apt B, South Bend, IN 46637-4053 | 2019-07-05 |
| 1912566498 | Patrick Thomas James | Licensed Practical Nurse | 12170 S State Road 3, Muncie, IN 47302-8793 | 2019-06-10 |
| 1033774690 | Deedee Wilfong | Licensed Practical Nurse | 708 E Bradford St, Marion, IN 46952-2959 | 2019-05-08 |
| 1437712916 | Shanetta Denise Savado | Licensed Practical Nurse | 717 S 29th St, South Bend, IN 46615-2237 | 2019-04-19 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSPORT |
| Zip Code | 47993 |
Please comment or provide details below to improve the information on SUSAN D STAR.
| 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.