SUSAN RENEE TUTTLE (NPI# 1740286988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740286988 |
| Entity Type | Individual |
| Full Name | SUSAN RENEE TUTTLE |
| Other Name | SUSIE TUTTLE |
| Credential | APN |
| Practice Address |
325 Spring St Red Bud IL 62278-1105 |
| Practice Telephone | 6182827373 |
| Mailing Telephone | 6182827373 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2015-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209003723 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063635530 | Susan B Tuttle | Nurse Practitioner | 1221 6th St, Suite 202, Traverse City, MI 49684-2359 | 2007-04-11 |
| 1477690725 | Susan Emily Tuttle | Pharmacist | 2727 Winkler Ave, Sw Fl Regional Med Center- Pharmacy, Ft Myers, FL 33901-9358 | 2007-01-30 |
| 1053482786 | Susan Tuttle | Counselor | 2345 Erringer Rd, Suite 209, Simi Valley, CA 93065-2235 | 2006-11-13 |
| Street Address |
325 SPRING ST |
| City | RED BUD |
| State | IL |
| Zip Code | 62278-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617609 | Red Bud Clinic Corp | Anesthesiology | 325 Spring St, Red Bud, IL 62278-1105 | 2005-05-27 |
| 1588147623 | Thomas Michael Castilaw | Nurse Practitioner | 325 Spring St, Red Bud, IL 62278 | 2018-09-14 |
| 1477086239 | Adrian Bennett | Internal Medicine | 325 Spring St, Red Bud, IL 62278-1105 | 2017-04-09 |
| 1588011803 | Lisa Riechmann | Nurse Practitioner | 325 Spring St, Red Bud, IL 62278-1105 | 2016-05-17 |
| 1417317785 | Inwood Emergency Physicians, LLC | Physician Assistant | 325 Spring St, Red Bud, IL 62278-1105 | 2016-03-01 |
| 1568855617 | Lauren Scovill | Specialist/Technologist | 325 Spring St, Red Bud, IL 62278-1105 | 2015-03-13 |
| 1972948065 | Cercis Emergency Physicians, LLC | Emergency Medicine | 325 Spring St, Red Bud, IL 62278-1105 | 2013-05-03 |
| 1467795138 | Interior Plains Emergency Physicians | Emergency Medicine | 325 Spring St, Red Bud, IL 62278-1105 | 2013-04-01 |
| 1588902977 | Ashley N Hentis | Physical Therapist | 325 Spring St, Red Bud, IL 62278-1105 | 2013-01-21 |
| 1770820391 | Sarah E Heine | Physical Therapist | 325 Spring St, Red Bud, IL 62278-1105 | 2013-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477852028 | Margret De Jesus De Guzman | Surgery | Red Bud Illinois Hospital Comany LLC, 325 Spring St, Red Bud, IL 62278 | 2011-03-22 |
| 1952595878 | Clarkson Optometry Illinois PC | Optometrist | 210 S Main, Red Bud, IL 62278 | 2007-09-04 |
| 1679795157 | Human Service Center of Southern Metro East | Clinic/Center | 10257 State Route Three, Red Bud, IL 62278 | 2007-05-03 |
| 1508980798 | Quentin Thomas Stenzel | Chiropractor | 204 W. Market, Red Bud, IL 62278 | 2007-03-16 |
| 1306905054 | Jennifer Ranee Dewilde | Chiropractor | 930 West Market, Suite 1, Red Bud, IL 62278 | 2006-12-08 |
| 1336353523 | Human Service Center | Private Vehicle | 10257 State Route Three, Red Bud, IL 62278 | 2007-05-09 |
| 1093928111 | Human Service Center | Clinic/Center | 10257 State Route Three, Red Bud, IL 62278 | 2007-05-07 |
| 1386856409 | Human Service Center of Southern Metro East | Clinic/Center | 115 East Stacey Street, Chester, IL 62278 | 2007-05-03 |
| 1417960121 | Tina Renee Stulce | Dentist | 307 S Main St, Red Bud, IL 62278 | 2006-08-14 |
| 1417058777 | Drs Pichet & Meechai | Internal Medicine | 415 W S Fourth St, Suite A, Red Bud, IL 62278-0168 | 2006-09-26 |
| Find all providers in zip 62278 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998553 | Melissa Litwin | Nurse Practitioner | 9127 Burlington Ave, Brookfield, IL 60513-1939 | 2020-10-06 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1518506625 | Lila Macalinga Rivera | Nurse Practitioner | 17w335 16th St, Oakbrook Terrace, IL 60181-4030 | 2020-01-06 |
| 1922642495 | Christine Nacar | Nurse Practitioner | 1232 Le Moyne Ave, Romeoville, IL 60446-4180 | 2019-10-29 |
| 1144871344 | Wensheng Tracy Wu | Nurse Practitioner | 1555 Barrington Rd Ste 1200, Hoffman Estates, IL 60169-5036 | 2019-09-27 |
| 1881245314 | Mkbb LLC | Nurse Practitioner | 1212 E Algonquin Rd, Algonquin, IL 60102-5446 | 2019-09-25 |
| 1225681455 | Jinu Joss | Nurse Practitioner | 9939 N Warren Oval, Niles, IL 60714-1044 | 2019-07-17 |
| 1659830057 | Ginger Dean | Nurse Practitioner | 2843 Chicago Rd, South Chicago Heights, IL 60411-4736 | 2019-03-15 |
| 1770048910 | Amanda K Honchell I | Nurse Practitioner | 401 W Madison St, Mount Carroll, IL 61053-9485 | 2019-02-01 |
| 1548725799 | Grace Nwaka Wabomnor | Nurse Practitioner | 17 E Grandview Dr, South Holland, IL 60473-1099 | 2019-02-01 |
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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.