SUSAN WALLS (NPI# 1710426986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710426986 |
| Entity Type | Individual |
| Full Name | SUSAN WALLS |
| Practice Address |
48 Independence Dr Hazard KY 41701-9443 |
| Practice Telephone | 6064871646 |
| Practice Fax Number | 6064871746 |
| Mailing Telephone | 6064871646 |
| Mailing Fax Number | 6064871746 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
172049 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528257235 | Susan Walls | Speech-Language Pathologist | 50 E North St, Buffalo, NY 14203-1002 | 2007-10-18 |
| Street Address |
48 INDEPENDENCE DR |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-9443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740614676 | Ruth Ann Combs | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2013-08-28 |
| 1588296701 | Bhg Lviii, LLC | Clinic/Center | 48 Independence Dr, Hazard, KY 41701-9443 | 2020-02-05 |
| 1134685787 | Dawn Rayburn | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2019-02-19 |
| 1417447863 | Ernie Michael Williams | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2018-05-11 |
| 1205363835 | Richard Helton | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2017-05-13 |
| 1235665258 | Travis Owens | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2017-05-11 |
| 1831635929 | Pamela Smith | Case Manager/Care Coordinator | 48 Independence Dr, Hazard, KY 41701-9443 | 2017-01-12 |
| 1073057410 | Randall Grace | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2016-12-05 |
| 1609326354 | Sandra F Caudill | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2016-10-06 |
| 1437607785 | Richard Walls | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2016-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740614676 | Ruth Ann Combs | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2013-08-28 |
| 1407454127 | Ek Wellness Group LLC | Counselor | 412 Roy Campbell Dr, Hazard, KY 41701-9453 | 2020-10-14 |
| 1134685787 | Dawn Rayburn | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2019-02-19 |
| 1699242396 | Rhonda Yvonne Sexton | Counselor | 277 Roy Campbell Dr, Hazard, KY 41701-9485 | 2018-10-31 |
| 1417447863 | Ernie Michael Williams | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2018-05-11 |
| 1205363835 | Richard Helton | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2017-05-13 |
| 1235665258 | Travis Owens | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2017-05-11 |
| 1073057410 | Randall Grace | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2016-12-05 |
| 1609326354 | Sandra F Caudill | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2016-10-06 |
| 1437607785 | Richard Walls | Counselor | 48 Independence Dr, Hazard, KY 41701-9443 | 2016-09-15 |
| Find all providers in HAZARD | ||||
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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.