SUSAN ELIZABETH WALLNUTT (NPI# 1649614165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649614165 |
| Entity Type | Individual |
| Full Name | SUSAN ELIZABETH WALLNUTT |
| Credential | RPH |
| Practice Address |
1070 W Baptist Rd Colorado Springs CO 80921-2402 |
| Practice Telephone | 7194882988 |
| Practice Fax Number | 7194880259 |
| Mailing Telephone | 7194882988 |
| Mailing Fax Number | 7194880259 |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9760 | CO | Pharmacy Service Providers |
| Street Address |
1070 W BAPTIST RD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80921-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396781480 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1070 W Baptist Rd, Colorado Springs, CO 80921 | 2006-06-20 |
| 1023615838 | The Little Clinic of Colorado LLC | Physician Assistant | 1070 W Baptist Rd, Colorado Springs, CO 80921-2402 | 2020-10-05 |
| 1255775458 | Judith Ann Maton | Pharmacist | 1070 W Baptist Rd, Colorado Springs, CO 80921-2402 | 2013-04-18 |
| 1811330350 | Chris Kotschwar | Pharmacist | 1070 W Baptist Rd, Colorado Springs, CO 80921-2402 | 2013-04-15 |
| 1255774790 | Deborah J Thomas | Pharmacist | 1070 W Baptist Rd, Colorado Springs, CO 80921-2402 | 2013-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588279699 | Play 4 Healing Pllc | Counselor | 13550 Northgate Estates Drive, Colorado Springs, CO 80921 | 2020-09-15 |
| 1740894039 | Emergency Medical Specialists, PC | Emergency Medicine | Meadowgrass Fsed - Md, 13510 Meadowgrass Dr, Colorado Springs, CO 80921 | 2020-09-03 |
| 1003420324 | Emergency Medical Specialists, PC | Emergency Medicine | Meadowgrass Fsed - App, 13510 Meadowgrass Dr, Colorado Springs, CO 80921 | 2020-09-03 |
| 1417519893 | Michelle Wright | Counselor | 11681 Voyager Parkway, Suite 150, Colorado Springs, CO 80921 | 2019-07-05 |
| 1780241083 | Lindsay Afton Barker | Counselor | Whole Kids Co., 11681 Voyager Pkwy, Ste 150, Colorado Springs, CO 80921 | 2019-05-22 |
| 1063076321 | Octavia Cormier | Counselor | 11681 Voyager Pkwy, Unit 150, Colorado Springs, CO 80921 | 2019-04-23 |
| 1225538630 | Northgate Family Chiropractic LLC | Chiropractor | 12245 Voyager Pkwy Ste 124, Colorado Springs, CO 80921 | 2018-02-13 |
| 1942712351 | Candace Grace Kaminski | Massage Therapist | 59 Avocet Loop, Colorado Springs, CO 80921 | 2017-10-26 |
| 1801319108 | Rebecca Freed | Physical Therapist | 13570 Northgate Estates Dr. Ste 100, Colorado Springs, CO 80921 | 2017-07-19 |
| 1174076582 | Jan L Wilkenson | Counselor | Heart Matters Counseling Center, 13550 Northgate Estates Drive, #200, Colorado Springs, CO 80921 | 2016-08-02 |
| Find all providers in zip 80921 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073155925 | James Foster | Pharmacist | 4440 Wordsworth Cir N, Colorado Springs, CO 80916-3126 | 2019-10-11 |
| 1811542525 | Melinda Reed | Pharmacist | 5880 Ellingsworth Pl, Colorado Springs, CO 80924-2104 | 2019-08-08 |
| 1689233389 | Jenna Johnston | Pharmacist | 15 N Union Blvd Ste 120, Colorado Springs, CO 80909-5754 | 2019-06-07 |
| 1881189173 | Michael Stewart | Pharmacist | 1901 Fieldcrest Dr, Colorado Springs, CO 80921-4012 | 2018-06-28 |
| 1447779897 | Luke Matthew Delzer | Pharmacist | 4105 Briargate Pkwy # 125, Colorado Springs, CO 80920-3480 | 2017-09-18 |
| 1689101982 | Lindsey Person | Pharmacist | 3725 West Colorado Avenue, Colorado Springs, CO 80904-3040 | 2017-05-17 |
| 1134655038 | Sara Ann Kotschwar | Pharmacist | 10150 Clear Creek Rd, Colorado Springs, CO 80920-1439 | 2017-05-11 |
| 1124553128 | Amanda Williams | Pharmacist | 2440 Lyncrest Dr, Colorado Springs, CO 80918-1587 | 2017-04-27 |
| 1407398886 | Donald L Johnson | Pharmacist | 7332 Walker Dr, Colorado Springs, CO 80920-3315 | 2016-11-16 |
| 1467901850 | Darcy Lewis | Pharmacist | 1550 Little Bear Creek Pt, Unit 201, Colorado Springs, CO 80904-6803 | 2016-09-26 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80921 |
Please comment or provide details below to improve the information on SUSAN ELIZABETH WALLNUTT.
| 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.