MRS. SUSAN M DERRICK (NPI# 1730266065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730266065 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN M DERRICK |
| Credential | RN |
| Practice Address |
117 Seafarers Ln Rochester NY 14612-2947 |
| Practice Telephone | 5857230713 |
| Mailing Telephone | 5857230713 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
416803-1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01649229 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922265206 | Susan Parker Derrick | Physical Therapist | 1101 W Emerson St, Seattle, WA 98119-1316 | 2008-05-22 |
| Street Address |
117 SEAFARERS LN |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14612-2947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386294122 | Marlene Lebeau | Technician | 39 Wood Run Commons, Rochester, NY 14612 | 2019-09-13 |
| 1316445349 | Hudson Family Chiropractic, Pllc | Chiropractor | 470 Long Pond Rd Ste 270f, Rochester, NY 14612 | 2018-01-24 |
| 1043759822 | Jessica Ekiert | Licensed Practical Nurse | 143 Country Place Ln, Rochester, NY 14612 | 2017-02-14 |
| 1790179471 | Elizabeth Inclima | Specialist | 27 Hale Circle, Rochester, NY 14612 | 2015-03-20 |
| 1528471869 | Brenda Marie Roberts | Licensed Practical Nurse | 3457 Latta Rd, Greece, NY 14612 | 2014-06-04 |
| 1811272602 | Alexandra Reidmiller | Registered Nurse | 800 Long Pond Road, Rochester, NY 14612 | 2011-10-12 |
| 1528372224 | Nicole France | Pharmacist | 665 Long Pond Rd., Rochester, NY 14612 | 2010-08-05 |
| 1407094303 | Esther Mae Platek | Licensed Practical Nurse | 4702-1 Dewey Ave, Rochester, NY 14612 | 2009-01-30 |
| 1871730614 | Edwidge May Clarke | Registered Nurse | 276 Pebbleview Drive, Rochester, NY 14612 | 2009-01-15 |
| 1073772000 | La Vonia Marie Norman - Greeen | Licensed Practical Nurse | 902 Pond View Hts, Rochester, NY 14612 | 2008-06-05 |
| Find all providers in zip 14612 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408055 | Kathleen Marie Cook | Registered Nurse | 157 Birr St, Rochester, NY 14613-1737 | 2019-10-16 |
| 1144861139 | Glazon Group, Inc. | Registered Nurse | 5 9th St Ne, Rochester, MN 55906-3625 | 2019-10-01 |
| 1316590136 | Grace Wedesamah Baffoe Johnson | Registered Nurse | 102 Bobrich Dr Apt A, Rochester, NY 14610-2068 | 2019-07-21 |
| 1508338393 | Breanna Christine Steinberg | Registered Nurse | 816 17th Ave Ne, Rochester, MN 55906-7128 | 2018-12-18 |
| 1366841520 | Sylvester Ngene | Registered Nurse | 1701 41st St Nw, Ste A 19, Rochester, MN 55901-1304 | 2014-08-13 |
| 1467879312 | David Quelle | Registered Nurse | 1115 2nd St Nw, Rochester, MN 55901-2760 | 2014-03-27 |
| 1801211461 | Tracey Marie Tennity | Registered Nurse | 3896 Dewey Ave, #156, Rochester, NY 14616-2527 | 2014-02-19 |
| 1770840712 | Lois Torrance Reddick | Registered Nurse | 11 Mae Meadow, Rochester, NY 14624 | 2012-04-16 |
| 1215224332 | Margery Frances Dillenbeck | Registered Nurse | 13 Brook Valley Dr, Rochester, NY 14624-5349 | 2011-07-10 |
| 1255628657 | Joan Faben | Registered Nurse | 149 Whittier Rd., Rochester, NY 14624 | 2011-07-06 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on MRS. SUSAN M DERRICK.
| 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.