SUSAN G BLACK (NPI# 1780834549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780834549 |
| Entity Type | Individual |
| Full Name | SUSAN G BLACK |
| Credential | CRNP |
| Practice Address |
227 Hospital Dr Ste 1 Everett PA 15537-7019 |
| Practice Telephone | 8146239095 |
| Practice Fax Number | 8146237837 |
| Mailing Telephone | 8146239095 |
| Mailing Fax Number | 8146237837 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP009927 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356813687 | Susan Elizabeth Black | Licensed Vocational Nurse | 3379 S Forty Dr, Weatherford, TX 76085-8222 | 2018-12-27 |
| 1669794798 | Susan Black | Family Medicine | 12 Muskegon Shore Rd, Harpswell, ME 04079-3792 | 2010-02-16 |
| 1528213451 | Susan Ann Black | Occupational Therapist | 4408 W Walnut St, Apt/suite, Rogers, AR 72756-9526 | 2008-11-19 |
| 1366599565 | Susan E. Black Sr. | Speech-Language Pathologist | 3420 Lakeview Pkwy, Locust Grove, VA 22508-5664 | 2007-01-03 |
| 1497810386 | Susan Ann Black | Psychiatry & Neurology | 1504 Galena St, Aurora, CO 80010-2219 | 2006-12-22 |
| 1598862575 | Susan Esther Black | Marriage & Family Therapist | 2 Spring Ln, Fairfield, CA 94534-1429 | 2006-09-20 |
| 1578935409 | Susan Black | Behavioral Analyst | 13017 Artesia Blvd Ste D134, Cerritos, CA 90703-1385 | 2015-10-30 |
| 1003175183 | Susan Easton Black | Counselor | 1190 N 900 E, Provo, UT 84604-3536 | 2012-05-10 |
| 1073896783 | Susan Black | Pharmacist | 326 W Lincoln Ave, Fergus Falls, MN 56537-2027 | 2011-09-20 |
| 1679696074 | Susan Gail Black | Occupational Therapist | 2120 Exeter Rd, Germantown, TN 38138-3922 | 2007-04-09 |
| Street Address |
227 HOSPITAL DR STE 1 |
| City | EVERETT |
| State | PA |
| Zip Code | 15537-7019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497914469 | Peggy V Steinbrunner | Counselor | 16 Water Street, Ste 101, Everett, PA 15537 | 2008-06-05 |
| 1639274996 | Philip Kucas | Physician Assistant | 227 Hospital Drive, Suite 1, Everett, PA 15537 | 2006-09-13 |
| 1114029154 | Darryl Keef Warner | Chiropractor | 201 Hospital Dr, Suite 2, Everett, PA 15537 | 2006-09-01 |
| 1376553966 | Erin M Richards | Physician Assistant | 249 Hospital Drive Suite 1, Everett, PA 15537 | 2006-08-08 |
| 1710916556 | Raystown Ambulance Service Inc | Ambulance | 4 East South Street, Everett, WA 15537 | 2006-07-02 |
| 1821031931 | Stephen E Mccombie | Optometrist | 34 Bedford Square, Everett, PA 15537 | 2006-06-14 |
| 1982662540 | Elliott Jody Bilofsky | Otolaryngology | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-05-03 |
| 1780607168 | Elliott Bilofsky Do PC | Otolaryngology | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-07-26 |
| 1013930387 | Dana Marie Harris | Physician Assistant | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-07-26 |
| 1659347847 | George Michael Zubak | Specialist | 300 N Spring St, Everett, PA 15537-1011 | 2006-02-27 |
| Find all providers in zip 15537 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144867649 | Toni Sheree Waller | Nurse Practitioner | 10904 29th Dr Se, Everett, WA 98208-7810 | 2019-12-03 |
| 1689148090 | Bernadette N Kimemia | Nurse Practitioner | 6210 147th Pl Se, Everett, WA 98208-9387 | 2019-01-18 |
| 1942651906 | Breanne Marcucci | Nurse Practitioner | 11314 4th Ave W Ste 108, Everett, WA 98204-6926 | 2016-06-30 |
| 1578934568 | Nicole Mills | Nurse Practitioner | 12728 19th Ave Se # 200, Everett, WA 98208-6526 | 2015-10-15 |
| 1528377991 | Sonya Beth Starr | Nurse Practitioner | 15 Sw Everett Mall Way Ste A, Everett, WA 98204 | 2010-10-01 |
| 1043538440 | Sejal Parekh Graber | Nurse Practitioner | 1330 Rockefeller Ave Ste 200, Everett, WA 98201-1677 | 2010-05-10 |
| 1639347438 | Alan Paul Abrams | Nurse Practitioner | 2731 Wetmore Avenue, Suite 500, Everett, WA 98201-3581 | 2008-02-14 |
| 1871688689 | Carol Dillon Mccahon | Nurse Practitioner | 930 N. Broadway, Everett, WA 98201 | 2006-10-04 |
| 1114926094 | Andrew Staffier | Nurse Practitioner | 596 Broadway, Everett, MA 02149-3743 | 2005-07-21 |
| 1871191791 | Emina Polovina Bayomy | Nurse Practitioner | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2020-10-13 |
| Find all providers in EVERETT | ||||
Please comment or provide details below to improve the information on SUSAN G BLACK.
| 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.