SUSAN LEE MOENCH (NPI# 1689875767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689875767 |
| Entity Type | Individual |
| Full Name | SUSAN LEE MOENCH |
| Credential | R.N.,M.S.,C.S.,N.P. |
| Practice Address |
35 State St Tully NY 13159-3218 |
| Practice Telephone | 3156960264 |
| Practice Fax Number | 3156960264 |
| Mailing Telephone | 3156960264 |
| Mailing Fax Number | 3156960264 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
312927-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
35 STATE ST |
| City | TULLY |
| State | NY |
| Zip Code | 13159-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578053583 | Colin Francis Rybak | Pharmacist | 596 U.S. Rt 11, Tully, NY 13159 | 2018-05-15 |
| 1275842304 | Paula S Bush | Registered Nurse | 5957 Rt. 20 W, Lafayette, NY 13159 | 2010-10-07 |
| 1750581195 | Jonathan William Biggar | Registered Nurse | 986 Route 11 North, Tully, NY 13159 | 2007-07-24 |
| 1447342803 | John Cognato Pt PC | Physical Therapist | 505 Nys Route 281, Tully, NY 13159 | 2006-09-29 |
| 1992812176 | Kph Healthcare Services, Inc. | Pharmacy | 596 Route 11, Tully, NY 13159 | 2006-08-24 |
| 1962724070 | Sally F Beattie | Pharmacist | 596 Route 11, Tully, NY 13159 | 2010-02-17 |
| 1366602070 | Charles Nicholas Pirro | Nurse Practitioner | 5821 Route 80, Tully, NY 13159 | 2008-06-16 |
| 1093999245 | Rebecca Horn | Pharmacist | 596 Route 11, Tully, NY 13159 | 2007-12-24 |
| 1932392420 | David Leonard Diliello | Licensed Practical Nurse | 560 Strong Rd, Tully, NY 13159-0000 | 2007-08-20 |
| 1174822191 | Amanda Mae Walters | Case Manager/Care Coordinator | 38 State Street, Tully, NY 13159-0123 | 2011-03-16 |
| Find all providers in zip 13159 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
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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.