SUZANNE FAYE NICKERSON (NPI# 1811454135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811454135 |
Entity Type | Individual |
Full Name | SUZANNE FAYE NICKERSON |
Credential | FNP |
Practice Address |
3064 Oleander Ave Merced CA 95340-2335 |
Practice Telephone | 9163980828 |
Mailing Telephone | 9163980828 |
Enumeration Date | 2019-02-22 |
Last Update Date | 2019-02-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95010396 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3064 OLEANDER AVE |
City | MERCED |
State | CA |
Zip Code | 95340-2335 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063045706 | Pharmedquest Pharmacy Services | Pharmacy | 3940 Sandpiper Avenue, Pharmacy 181, Merced, CA 95340 | 2020-02-21 |
1548809668 | Michelle Melara | Behavior Technician | 3313 G Street, Suite B, Merced, CA 95340 | 2020-01-06 |
1417593070 | Emilio Jose Guzman | Behavior Technician | Autism Learning Partners 3313 G. Street, Suite B, Merced, CA 95340 | 2019-11-19 |
1477106383 | Anita Leigh Johnson | Nurse Practitioner | 3349 G Street, Suite C Bldg. K, El Portal Plaza, Merced, CA 95340 | 2019-07-19 |
1609439470 | Bobby Shan | Student in an Organized Health Care Education/Training Program | Mercy Medical Center Merced, 315 Mercy Avenue, Ste. 301, Merced, CA 95340 | 2019-04-17 |
1508333253 | Golden Valley Health Center | Clinic/Center | 3940 Sandpiper Ave., Merced, CA 95340 | 2018-10-31 |
1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
1841702271 | Tou Chang | Pharmacist | 3350 G Street, Merced, CA 95340 | 2017-10-25 |
1154842466 | Miller and Skinner Dental Corporation | Dentist | 560 W. 26th St., Merced, CA 95340 | 2017-06-28 |
1053859314 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2025 E. Santa Fe Dr., Merced, CA 95340 | 2017-02-07 |
Find all providers in zip 95340 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942819628 | Florence Wairimu Thomsen | Nurse Practitioner | 12 Aldrich Dr, Merced, CA 95348-8516 | 2020-07-28 |
1821607797 | Gurdeep Singh | Nurse Practitioner | 4985 Webber Ct, Merced, CA 95348-8540 | 2020-07-27 |
1003425976 | Raj Kumar Sharma | Nurse Practitioner | 4824 Langley Way, Merced, CA 95348-8543 | 2020-07-27 |
1477106383 | Anita Leigh Johnson | Nurse Practitioner | 3349 G Street, Suite C Bldg. K, El Portal Plaza, Merced, CA 95340 | 2019-07-19 |
1023564812 | Gina Leisha Broussard | Nurse Practitioner | 3503 Capilano Ct, Merced, CA 95340 | 2016-08-31 |
1881147718 | Connie Heckman | Nurse Practitioner | 1166 Paseo Redondo Dr, Merced, CA 95348-1825 | 2016-07-27 |
1437518966 | Elizabeth Ocso Fernberg | Nurse Practitioner | 3576 Santiago Ave, Merced, CA 95348-9500 | 2016-02-11 |
1114392990 | Stella Nwasoka Adesokan | Nurse Practitioner | 1114 Olivewood Dr, Merced, CA 95348-1210 | 2015-12-05 |
1366731705 | David Norris Norris | Nurse Practitioner | 700 W 22nd St, Merced, CA 95340-3638 | 2011-04-06 |
1518154277 | Eunice Elaine Hall | Nurse Practitioner | 2644 M St Ste H, Merced, CA 95340-2826 | 2007-09-26 |
Find all providers in MERCED |
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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.