SUSANNE S JOHNSON (NPI# 1629052873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629052873 |
Entity Type | Individual |
Full Name | SUSANNE S JOHNSON |
Other Name | SUSANNE STAPLES |
Credential | APRN |
Practice Address |
500 Albany Ave Hartford CT 06120-2508 |
Practice Telephone | 8602499625 |
Practice Fax Number | 8608081542 |
Mailing Telephone | 8602499625 |
Mailing Fax Number | 8608081542 |
Enumeration Date | 2005-12-01 |
Last Update Date | 2014-08-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
000354 | CT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 004219699 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528441706 | Susanne Marie Johnson | Nurse Practitioner | 525 Clinton Street, Camden, NJ 08103 | 2015-07-07 |
1144237488 | Susanne Johnson | Psychologist | 728 Ogden Ave, Ste E, Downers Grove, IL 60515-2901 | 2006-08-01 |
1023365384 | Susanne K Johnson | Specialist/Technologist | 1756 Bee Creek Rd, Special Services -- Claim Care, Branson, MO 65616-9395 | 2012-08-06 |
1205069770 | Susanne P Johnson | Nurse Practitioner | 22 Bozard St, Manning, SC 29102-2935 | 2009-08-31 |
1518137546 | Susanne Judith Johnson | Social Worker | 777 N Raymond St, Boise, ID 83704-9251 | 2008-03-05 |
1457479578 | Susanne Catherine Johnson | Counselor | 11 Sundial Circle, Suite #4, Carefree, AZ 85377 | 2007-03-27 |
1790864379 | Susanne Jane Johnson | Registered Nurse | 747 Broadway, Seattle, WA 98122-4379 | 2006-11-03 |
1376503623 | Susanne T Johnson | Physician Assistant | 5228 W Plano Pkwy, Plano, TX 75093-5005 | 2006-03-23 |
Street Address |
500 ALBANY AVE |
City | HARTFORD |
State | CT |
Zip Code | 06120-2508 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134128838 | Avon Medical Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 500 Albany Ave, Hartford, CT 06120-2508 | 2005-07-15 |
1093350324 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 500 Albany Ave, Hartford, CT 06120-2508 | 2019-11-11 |
1962047498 | Laura Beth Troy | Nurse Practitioner | 500 Albany Ave, Hartford, CT 06120-2508 | 2019-11-07 |
1699317412 | Oksana Roytburg | Nurse Practitioner | 500 Albany Ave, Hartford, CT 06120-2508 | 2019-10-14 |
1710537063 | Chengping Wang | Nurse Practitioner | 500 Albany Ave, Hartford, CT 06120-2508 | 2019-09-18 |
1831749209 | Chedene A Ewart | Social Worker | 500 Albany Ave, Hartford, CT 06120-2508 | 2019-09-17 |
1174189039 | Nashka P. Carrion | Social Worker | 500 Albany Ave, Hartford, CT 06120-2508 | 2019-05-16 |
1801366646 | Kerin Gilligan | Nurse Practitioner | 500 Albany Ave, Hartford, CT 06120-2508 | 2018-12-04 |
1194209213 | Maria Elena Slajda | Nurse Practitioner | 500 Albany Ave, Hartford, CT 06120-2508 | 2018-09-25 |
1487131462 | Deneisha Tamara Lindsay | Nurse Practitioner | 500 Albany Ave, Hartford, CT 06120-2508 | 2018-07-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245664770 | Amy Rodriguez | Social Worker | 2550 Main Street, Hartford, CT 06120 | 2013-09-03 |
1144578741 | Community Substance Abuse Center | Case Management | 55 Fish Fry Street, Hartford, CT 06120 | 2012-08-29 |
1225394190 | Edward Billie | Case Management | 27 East St, Apt 2, Hartford, CT 06120 | 2012-04-05 |
1497065163 | Sharron Lee Laplante | General Practice | 177 Weston Street, Hartford, CT 06120 | 2010-10-15 |
1417135195 | Ling Li | Nurse Practitioner | 3580 Main Street, Hartford, CT 06120 | 2008-02-05 |
1750592564 | Avon Medical Pharmacy | Durable Medical Equipment & Medical Supplies | Arrow Prescription Center 11, 500 Albany Avenue, Hartford, CT 06120 | 2007-05-24 |
1609942416 | Gene David Kirschenbaum | Obstetrics & Gynecology | 360 Market Street, Hartford, CT 06120 | 2006-11-27 |
1740361179 | Pamela Bond Ponichtera | Nurse Practitioner | 500 Albany Avenue, Pediatric Clinic, Hartford, CT 06120 | 2006-10-19 |
1841301876 | Community Renewal Team, Inc. | Clinic/Center | 330 Market Street, Hartford, CT 06120 | 2006-08-31 |
1548803844 | Courtney Anne Barnes | Social Worker | 330 Market St, Hartford, CT 06120 | 2019-10-20 |
Find all providers in zip 06120 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740361179 | Pamela Bond Ponichtera | Nurse Practitioner | 500 Albany Avenue, Pediatric Clinic, Hartford, CT 06120 | 2006-10-19 |
1922097682 | Monica Mary Joyce-montaudy | Nurse Practitioner | 76 New Britain Ave, Hartford, CT 06106-3305 | 2005-10-17 |
1770066961 | Sandra Purcell | Nurse Practitioner | 282 Washington St, Hartford, CT 06106-3322 | 2018-09-13 |
1487131462 | Deneisha Tamara Lindsay | Nurse Practitioner | 500 Albany Ave, Hartford, CT 06120-2508 | 2018-07-23 |
1831618198 | Victoria Pohl | Nurse Practitioner | 282 Washington St, Hartford, CT 06106-3322 | 2017-09-18 |
1033652540 | Meredith Rose Lake | Nurse Practitioner | 282 Washington St, Hartford, CT 06106-3322 | 2016-12-01 |
1124572367 | Lauren Wellner | Nurse Practitioner | 282 Washington St, Hartford, CT 06106-3322 | 2016-08-04 |
1780059030 | Mallory Fossa | Nurse Practitioner | 282 Washington St, Hartford, CT 06106-3322 | 2015-12-10 |
1144698960 | Kara Haladyna | Nurse Practitioner | 76 New Britain Ave, Hartford, CT 06106-3305 | 2015-09-10 |
1326424128 | Amanda Filippelli | Nurse Practitioner | 282 Washington Street, Hartford, CT 06106 | 2015-08-04 |
Find all providers in HARTFORD |
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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.