MRS. SUSAN L MOULTON (NPI# 1841337383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841337383 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN L MOULTON |
| Credential | WHNP |
| Practice Address |
2284 S Ballenger Hwy Suite H Flint MI 48503-3446 |
| Practice Telephone | 8102335211 |
| Mailing Telephone | 8102335211 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2016-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
4704104617 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS ID | 5008767180 | 01 |
| MI | 4416010 | 05 | |
| MI | MEDICARE GROUP | OM32030 | 01 |
| Street Address |
2284 S BALLENGER HWY SUITE H |
| City | FLINT |
| State | MI |
| Zip Code | 48503-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992774194 | Janice Kay Shimoda | General Practice | 2284 S Ballenger Hwy, Suite H, Flint, MI 48503-4653 | 2006-03-17 |
| 1558993139 | Hailee Strong | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2020-02-11 |
| 1083258784 | Larissa Cottrell | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-11-05 |
| 1649813775 | Omar Mohamed-f Elnour | Technician, Other | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-10-22 |
| 1386287670 | Najla Collins | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-10-20 |
| 1417599705 | Saundra Marie Harris | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-10-08 |
| 1558913624 | Elonda Clemons | Technician, Health Information | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-07-09 |
| 1720640386 | Nadia M Johnson | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-07-03 |
| 1013579879 | Chester Watson IIi | Technician, Other | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-07-02 |
| 1972162287 | Zakory Mitchel Dippold | Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2019-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336292606 | Sandra Kay Nowak | Nurse Practitioner | G3371 Beecher Rd, Flint, MI 48532-3621 | 2007-01-19 |
| 1770636946 | Haroletta Marie Lilly | Nurse Practitioner | G3371 Beecher Rd, Flint, MI 48532-3621 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615279 | Kelly Ellis | Nurse Practitioner | 585 S Union St, Sparta, MI 49345-1505 | 2020-07-01 |
| 1316587678 | Pregnancy Helpline | Nurse Practitioner | 7743 Grand River Avenue, Suite 101, Brighton, MI 48114-9349 | 2020-01-14 |
| 1972160745 | Jennifer Deibert Keck | Nurse Practitioner | 7345 Jewelbrooke Dr Se, Grand Rapids, MI 49548-7323 | 2019-05-28 |
| 1053874248 | Suzanne Kathleen Dubuque | Nurse Practitioner | 7743 Grand River Rd Ste 101, Brighton, MI 48114-9349 | 2019-04-13 |
| 1316419625 | Chira Latrice Caldwell | Nurse Practitioner | 26080 Continental Cir, Taylor, MI 48180-6901 | 2018-12-27 |
| 1245741651 | Michigan Born and Raised LLC | Nurse Practitioner | 2932 Chicago Dr Sw, Grandville, MI 49418-1176 | 2017-10-12 |
| 1700322708 | Emily Strang | Nurse Practitioner | 909 W Maple Rd Ste 110, Clawson, MI 48017-1000 | 2017-01-13 |
| 1629446315 | Women's Health Associates PC | Nurse Practitioner | 25150 Ford Rd Ste 200, Dearborn Heights, MI 48127-3163 | 2015-09-11 |
| 1003297664 | Kimberly Porter | Nurse Practitioner | 1005 W Green St Ste 301, Hastings, MI 49058-1729 | 2015-06-09 |
| 1619390309 | Bethany Bondy | Nurse Practitioner | 1651 Kingsway Ct Ste A, Trenton, MI 48183-1959 | 2014-01-30 |
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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.