MS. SUSIE Q. BASKIN (NPI# 1649449372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649449372 |
| Entity Type | Individual |
| Full Name | MS. SUSIE Q. BASKIN |
| Credential | MSN |
| Practice Address |
66 N. Pauline Street Suite 101 Memphis TN 38105 |
| Mailing Address |
50 N. Dunlap Street Lebonheur Children's Medical Center Memphis TN 38103 |
| Practice Telephone | 9014486936 |
| Practice Fax Number | 9014487692 |
| Mailing Telephone | 9012874825 |
| Mailing Fax Number | 9012874845 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
6056 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02475341 | 05 |
| Street Address |
66 N. PAULINE STREET SUITE 101 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
| Find all providers in zip 38105 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225512346 | Cassie Lynn Nations | Nurse Practitioner | 853 Jefferson Ave Fl 2, Memphis, TN 38103-2807 | 2018-09-25 |
| 1609283928 | Marilyn Muirhead | Nurse Practitioner | 179 Eastland Dr, Memphis, TN 38111-6930 | 2014-07-18 |
| 1225381650 | Jane Guidry Hood | Nurse Practitioner | 853 Jefferson Ave Bldg 2nd, Memphis, TN 38103-2807 | 2012-10-23 |
| 1235379876 | Nancy Lakey Ruch | Nurse Practitioner | 877 Jefferson Ave Rm 201, Memphis, TN 38103-2807 | 2009-02-23 |
| 1992926067 | Jacqueline Pentz Watkins | Nurse Practitioner | 853 Jefferson Avenue, Rout Bldg, Suite 201, Memphis, TN 38103-2897 | 2007-05-02 |
| 1316088321 | Elizabeth L. Avery Ivey | Nurse Practitioner | 3832 Waynoka Ave, Memphis, TN 38111-6921 | 2007-02-11 |
| 1821186008 | Bridgette Demetre Battle | Nurse Practitioner | 853 Jefferson Ave # 206, Memphis, TN 38103-2807 | 2006-10-11 |
| 1609492966 | Lauren Casevechia | Nurse Practitioner | 853 Jefferson Ave # E206, Memphis, TN 38103-2804 | 2020-06-23 |
| 1598399594 | Chandler Mae Williams | Nurse Practitioner | 853 Jefferson Ave # Route206, Memphis, TN 38103-2804 | 2020-02-27 |
| 1386064913 | Lindsay Hand Burgess | Nurse Practitioner | 848 Adams Ave, Memphis, TN 38103-2816 | 2014-04-22 |
| Find all providers in MEMPHIS | ||||
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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.