SUSAN M DUNGAN (NPI# 1780751479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780751479 |
| Entity Type | Individual |
| Full Name | SUSAN M DUNGAN |
| Credential | NP |
| Practice Address |
1811 E Bert Kouns Suite 100 Shreveport LA 71105 |
| Mailing Address |
1844 Glen Cove Dr Benton LA 71006-8414 |
| Practice Telephone | 3182223695 |
| Practice Fax Number | 3184240717 |
| Mailing Telephone | 3189654341 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2009-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN089268 AP04806 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1409537 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992765309 | Susan Escudero Dungan | Physical Therapist | 8330 Washington Pl Ne, A, Albuquerque, NM 87113 | 2006-03-28 |
| Street Address |
1811 E BERT KOUNS SUITE 100 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669472155 | Sanders Fowler Hearne | Internal Medicine | 1811 E Bert Kouns, Suite 100, Shreveport, LA 71115 | 2005-07-26 |
| 1235368390 | Ryan Gary Master | Internal Medicine | 1811 E Bert Kouns, Suite 210, Shreveport, LA 71105 | 2009-07-10 |
| 1780889352 | Jessica Taylor Nash | Physician Assistant | 1811 E Bert Kouns, Suite 100, Shreveport, LA 71115 | 2007-06-15 |
| 1598886467 | Cardiology Associates-a Medical Corporation | Internal Medicine | 1811 E Bert Kouns, Suite 100, Shreveport, LA 71115 | 2007-04-02 |
| 1225009764 | Herbert B Master | Internal Medicine | 1811 E Bert Kouns, Suite 100, Shreveport, LA 71115 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293355 | Sheronica V Simmons | Nurse Practitioner | 2751 Albert L Bicknell Dr Ste 3c, Shreveport, LA 71103-3943 | 2020-10-25 |
| 1316410236 | Tanya Nicole Slayter | Nurse Practitioner | 1811 E Bert Koun Loop Ste 210, Shreveport, LA 71105-5740 | 2019-01-03 |
| 1679061279 | Antonya Williams | Nurse Practitioner | 9419 Amity Way, Shreveport, LA 71118-3601 | 2018-04-29 |
| 1922475227 | Dillon Hart Acnp, LLC | Nurse Practitioner | 5021 Beechwood Hills Dr, Shreveport, LA 71107-9175 | 2015-08-22 |
| 1487066296 | Alfred W. Hathorn Jr., M.d. Apmc | Nurse Practitioner | 2120 Bert Koun Loop, Suite # L, Shreveport, LA 71118-3351 | 2014-05-28 |
| 1427675701 | Lakyn Paige Smith | Nurse Practitioner | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2020-07-02 |
| 1700401908 | Amanda Marie Davis | Nurse Practitioner | 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 | 2020-06-12 |
| 1437774635 | April Chase | Nurse Practitioner | 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 | 2020-06-12 |
| 1215560578 | Benjamin Potter | Nurse Practitioner | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2020-02-14 |
| 1922653443 | Tarcariyunn Shantay Caldwell | Nurse Practitioner | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2019-08-02 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on SUSAN M DUNGAN.
| 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.