SUSAN CLAYTON BALLOU (NPI# 1588947170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588947170 |
| Entity Type | Individual |
| Full Name | SUSAN CLAYTON BALLOU |
| Credential | CPNP |
| Practice Address |
3 Hillcrest Park Rd Old Greenwich CT 06870-1003 |
| Practice Telephone | 2032027532 |
| Mailing Telephone | 2032027532 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
004268 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3 HILLCREST PARK RD |
| City | OLD GREENWICH |
| State | CT |
| Zip Code | 06870-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033654389 | Hannah Noel Smith | Social Worker | 1445 E Putnam Ave Ste 1, Old Greenwich, CT 06870 | 2016-12-22 |
| 1386191864 | Priscilla J Whittington | Personal Emergency Response Attendant | 1336 East Putnam Ave, Old Greenwich, CT 06870 | 2016-09-01 |
| 1457778193 | Advanced Ophthalmology of Connecticut LLC | Ophthalmology | 1455 East Putnam Avenue, Old Greenwich, CT 06870 | 2014-03-19 |
| 1225370422 | The Greenwich Medical Skincare and Laser Spa | Clinic/Center | 1345 E. Putnam Ave, The Greenwich Medical Skincare and Laser Spa, Old Greenwich, CT 06870 | 2013-03-26 |
| 1033430251 | Alona Altman | Speech-Language Pathologist | 27 Macarthur Dr., Old Greenwich, CT 06870 | 2010-06-22 |
| 1023344462 | Sarah Kate Leahey | Speech-Language Pathologist | 56 Havemeyer Lane, Old Greenwich, CT 06870 | 2009-10-20 |
| 1033345574 | Mary Ellen Foulds Lorefice | Social Worker | 39 Ballwood Road, Old Greenwich, CT 06870 | 2009-06-10 |
| 1215151204 | Nelly Tsivina | Acupuncturist | 13 Arcadia Rd, Suite #9, Old Greenwich, CT 06870 | 2007-04-12 |
| 1568580645 | Abilis Inc | Intermediate Care Facility, Mentally Retarded | 15 Cross Ridge, Garc, Old Greenwich, CT 06870 | 2007-03-27 |
| 1588702559 | Edward J Mamelok | Technician/Technologist | 15 Arcadia Road, Old Greenwich, CT 06870 | 2007-02-02 |
| Find all providers in zip 06870 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447878855 | Ashley Elusma | Nurse Practitioner | 92 New London Tpke # 1, Norwich, CT 06360-2616 | 2020-07-13 |
| 1396382792 | Jessca Morcone | Nurse Practitioner | 640 Brookside Dr, Fairfield, CT 06824-2419 | 2019-12-04 |
| 1790337137 | Elizabeth R Renker | Nurse Practitioner | 97 Barnes Rd Ste 6, Wallingford, CT 06492-1885 | 2019-07-16 |
| 1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
| 1487180840 | Meghan Mccarthy Warzoha | Nurse Practitioner | 2001 W Main St Ste 132, Stamford, CT 06902-4544 | 2017-05-04 |
| 1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
| 1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
| 1740602515 | Smart Start Pediatrics | Nurse Practitioner | 27 Sycamore St., Suite 300, Glastonbury, CT 06033 | 2014-01-14 |
| 1780013102 | Elizabeth Anavy | Nurse Practitioner | 195 Hillandale Ave, Stamford, CT 06902-2823 | 2013-11-06 |
| 1174951669 | Bela Kirit Dharia | Nurse Practitioner | 55 Lock Street, Yale Health, New Haven, CT 06511-3603 | 2013-10-22 |
| Find all providers with the same taxonomy | ||||
| City | OLD GREENWICH |
| Zip Code | 06870 |
Please comment or provide details below to improve the information on SUSAN CLAYTON BALLOU.
| 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.