SUSAN T PAETH (NPI# 1770621682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770621682 |
| Entity Type | Individual |
| Full Name | SUSAN T PAETH |
| Credential | ARNP |
| Practice Address |
2671 Ne 46th St Seattle WA 98105-5041 |
| Mailing Address |
1100 9th Ave Ms: M4-pfs Seattle WA 98101-2756 |
| Practice Telephone | 2065258000 |
| Practice Fax Number | 2065258070 |
| Mailing Telephone | 2065155811 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2013-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP30005131 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RAILROAD MEDICARE | 500017541 | 01 |
| WA | 9625781 | 05 | |
| WA | LABOR AND INDUSTRIES # | 0039577 | 01 |
| WA | BLUE SHIELD # | 8429PA | 01 |
| WA | AETNA SPECIALIST PIN | US2324679 | 01 |
| AK | NP585WA | 05 |
| Street Address |
2671 NE 46TH ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-5041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841291317 | Michael S Dudas | Pediatrics | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2005-08-09 |
| 1437632072 | Kate Kapner | Nurse Practitioner | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2018-09-10 |
| 1487186177 | Victoria Black Horse | Internal Medicine | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2017-03-31 |
| 1689120271 | Alyssa Erickson-wayman | Nurse Practitioner | 2671 Ne 46th St, Seattle, WA 98105 | 2016-09-01 |
| 1811308893 | Marnonette J Marallag | Family Medicine | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2014-05-13 |
| 1023436060 | Elizabeth Cochrane | Pediatrics | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2014-04-05 |
| 1578902094 | Virginia Mason Medical Center | Durable Medical Equipment & Medical Supplies | 2671 Ne 46th St, Seattle, WA 98105 | 2013-06-18 |
| 1457797961 | Amanda Sarah Freed | Internal Medicine | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2013-05-13 |
| 1447507462 | Angela M Black | Nurse Practitioner | 2671 Ne 46th St, Seattle, WA 98105 | 2012-08-09 |
| 1447519681 | Heather Christine Gupta | Pediatrics | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2012-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200509 | Megan Maureen Bauer | Nurse Practitioner | 6057 California Ave Sw, Seattle, WA 98136-1612 | 2020-09-17 |
| 1265077960 | Hannah Thornton | Nurse Practitioner | 4800 Sand Point Way Ne # Fa.2114, Seattle, WA 98105-3901 | 2019-11-17 |
| 1912427386 | Melinda Ehren Kratzig | Nurse Practitioner | 4800 Sand Point Way Ne # Msoa9220, Seattle, WA 98105-3901 | 2017-06-26 |
| 1245766880 | Jennifer Jean Baker | Nurse Practitioner | 904 7th Ave Fl 3, Seattle, WA 98104-1132 | 2017-05-02 |
| 1528493699 | Lindsay A Vander Woude | Nurse Practitioner | 4800 Sand Point Way Ne # Ms 8.501, Seattle, WA 98105-3901 | 2013-09-09 |
| 1689991457 | Okeysekhan L Warren | Nurse Practitioner | 2500 E Pine St, Seattle, WA 98122-3044 | 2010-05-03 |
| 1346493863 | Johannah Hensel Crogan | Nurse Practitioner | 1201 N 44th St, Apt 2, Seattle, WA 98103-7440 | 2008-10-28 |
| 1215118815 | Ha Dieu Nguyen Roni | Nurse Practitioner | 4744 41st Ave Sw Ste 101, Seattle, WA 98116-4566 | 2007-11-25 |
| 1285833020 | Brenda Way See Eng | Nurse Practitioner | 4800 Sand Point Way Ne # W7706, Dept of Orthopedics, Seattle, WA 98105-3901 | 2007-07-12 |
| 1932252509 | Bonnie Beardsley Sandahl | Nurse Practitioner | 9430 30th Ave Sw, Seattle, WA 98126-3963 | 2007-01-18 |
| Find all providers in SEATTLE | ||||
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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.