MISS SUSAN MICHELLE BROCK


Address: Lifeline Community Healthcare, 6150 Oak Tree Blvd Ste 200, Independence, OH 44131
Phone: 8008979177

MISS SUSAN MICHELLE BROCK (NPI# 1730500430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730500430
Entity Type Individual
Full Name MISS SUSAN MICHELLE BROCK
Other Name SUSAN MICHELLE SLAWSON
Credential NP
Practice Address Lifeline Community Healthcare
6150 Oak Tree Blvd Ste 200
Independence
OH 44131
Practice Telephone 8008979177
Mailing Telephone 8008979177
Enumeration Date 2013-12-23
Last Update Date 2020-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 3011567 KY Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
22668 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 201209630 05
OH 0099280 05
IN ANTHEM 000000855421 01

Other Providers SUSAN BROCK

NPI Name Taxonomy Address Enumeration
1851893218 Susan Brock Social Worker 296 Birnam Rd, Northfield, MA 01360-1151 2018-03-01
1366855132 Susan Brock Massage Therapist 3260 Vineville Ave, Macon, GA 31204-2324 2014-06-09

Office Location

Street Address LIFELINE COMMUNITY HEALTHCARE
6150 OAK TREE BLVD STE 200
City INDEPENDENCE
State OH
Zip Code 44131

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902457161 Emilie Hadley Case Manager/Care Coordinator 5700 Rockside Rd, Independence, OH 44131 2019-09-27
1316404015 Denise Ann Shannon Licensed Practical Nurse 4700 Rocksde Road, Suite 100, Independence, OH 44131 2019-02-28
1255898433 Elizabeth Spence Specialist/Technologist 806 Tuxedo Ave, Brooklyn Hts, OH 44131 2019-02-25
1407356819 Stefani Smithburger Social Worker 6200 Rockside Woods Blvd, Suite 305, Independence, OH 44131 2018-02-13
1881107092 Christine M Hernandez Nurse Practitioner 2150 Oak Tree Blvd Suite 200, Independence, OH 44131 2017-11-09
1639698368 Jessica Ann Phillips-donnelly Social Worker 5001 Rockside Road, Crown Center II, Independence, OH 44131 2017-09-13
1437692274 Susan Meghan Davis Registered Nurse 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 2016-11-28
1629431507 Patricia Lynn Berger Counselor 6200 Rockside Woods Blvd. Suite 305, Independence, OH 44131 2016-03-30
1265810428 Sarah Krakowiak Speech-Language Pathologist 3330 Wynde Tree Drive, Seven Hills, OH 44131 2015-05-08
1255732525 Michelle Rioux-nivens Nurse Practitioner 6150 Oak Tree Boulevard, Suite 200, Independence, OH 44131 2014-09-05
Find all providers in zip 44131

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316316698 Benjamin Murbach Nurse Practitioner 14310 E 42nd St S, Independence, MO 64055-7308 2015-09-17
1417296336 Sarah Turnbull Nurse Practitioner 19550 E 39th St S Ste 105, Independence, MO 64057-1926 2013-02-13
1417201260 Theresa Marie Giersz Nurse Practitioner 4807 Rockside Road, Ste 110, Independence, OH 44131 2012-11-01
1104139781 Katie Murray Nurse Practitioner 19550 East 39th St #210, Independence, MO 65047 2010-07-23
1619968070 Johnna L Bodenstab Nurse Practitioner 17611 East 24 Highway, Suite 200, Independence, MO 64055-1823 2005-11-03
1336140318 Mary Jane Maloney Nurse Practitioner 6100 Rockside Woods Blvd, Suite 425, Independence, OH 44131-2366 2005-08-02
1063413003 Mary E Elchlinger Nurse Practitioner 6100 Rockside Woods Blvd N, Suite 425, Independence, OH 44131-2366 2005-08-01
1881234193 Deidre Lynn Arch Nurse Practitioner 6801 Brecksville Rd Ste 10, Independence, OH 44131-5057 2020-01-14
1962967323 Valerie Davis Nurse Practitioner 510 Peter Pan Rd, Independence, KS 67301-7301 2019-02-09
1407321169 Alejandra De La Rosa Nurse Practitioner 6100 Rockside Woods Blvd N Ste 425, Independence, OH 44131-2340 2018-10-09
Find all providers in INDEPENDENCE

Competitor

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City INDEPENDENCE
Zip Code 44131

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Dataset Information

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.

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