SUSAN ELLIS (NPI# 1871631796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871631796 |
Entity Type | Individual |
Full Name | SUSAN ELLIS |
Credential | PNP |
Practice Address |
1609 Cedar St Muscatine IA 52761-3426 |
Mailing Address |
2048 Mississippi View Dr Muscatine IA 52761-8326 |
Practice Telephone | 5632630122 |
Practice Fax Number | 5632630520 |
Mailing Telephone | 5632641990 |
Enumeration Date | 2007-02-02 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
C-079193 | IA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | BLUE CROSS BLUE SHIELD | 22315 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457477903 | Susan Bethea Ellis | Marriage & Family Therapist | 2810 Leisure Ln, Carrollton, TX 75006-4734 | 2007-03-22 |
1841356078 | Susan Capri Ellis | Licensed Practical Nurse | 716 E Bradford St, Marion, IN 46952-2921 | 2006-12-30 |
1578633350 | Susan G Ellis | Psychologist | 3233 E Bay Dr, Suite 100, Largo, FL 33771-1900 | 2006-11-08 |
1578520292 | Susan Anne Ellis | Specialist/Technologist | 130 Tuskawilla Rd, Winter Springs, FL 32708-2831 | 2006-04-27 |
1285247114 | Susan Ellis | Counselor | 13035 W Bluemound Rd Ste 100, Brookfield, WI 53005-8001 | 2020-08-29 |
1750706800 | Susan Ellis | Nurse Practitioner | 610 Euclid Ave Ste 200, National City, CA 91950-2951 | 2014-02-26 |
1952732497 | Susan Ellis | Specialist/Technologist | 1000 Brookhaven Dr, Aiken, SC 29803-2109 | 2013-12-10 |
1689911794 | Susan Kay Ellis | Counselor | 1222 10th St, 301, Woodward, OK 73801-3156 | 2013-01-09 |
1639332430 | Susan Norma Ellis | Counselor | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2008-07-02 |
1720188725 | Susan Shereen Ellis | Social Worker | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2006-09-22 |
Street Address |
1609 CEDAR ST |
City | MUSCATINE |
State | IA |
Zip Code | 52761-3426 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265525885 | Unity Healthcare | Home Health | 1609 Cedar St, Muscatine, IA 52761-3426 | 2006-10-02 |
1679116362 | Kate Darrow | Counselor | 1609 Cedar St, Muscatine, IA 52761-3426 | 2019-10-24 |
1922656529 | Susan M Krueger | Registered Nurse | 1609 Cedar St, Muscatine, IA 52761-3426 | 2019-08-28 |
1265993794 | Stellera Roth | Dietitian, Registered | 1609 Cedar St, Muscatine, IA 52761-3426 | 2019-03-27 |
1821561481 | Katharine Campbell Rosenthal | Dietitian, Registered | 1609 Cedar St, Muscatine, IA 52761-3426 | 2019-01-07 |
1952894834 | Louise Mcdonough | Registered Nurse | 1609 Cedar St, Muscatine, IA 52761-3426 | 2018-06-14 |
1821354762 | Unitypoint At Home | Social Worker | 1609 Cedar St, Muscatine, IA 52761-3426 | 2012-04-04 |
1952440455 | Unity Healthcare | Public Health or Welfare | 1609 Cedar St, Muscatine, IA 52761-3426 | 2007-02-05 |
1467590398 | Kaia Petersen | Nurse Practitioner | 1609 Cedar St, Muscatine, IA 52761-3426 | 2007-02-02 |
1578650511 | Unity Healthcare | Hospice Care, Community Based | 1609 Cedar St, Muscatine, IA 52761-3498 | 2006-10-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780282327 | Jaime S Jose Jr. | Physical Therapist | Lutheran Living Senior Campus, 2421 Lutheran Drive, Muscatine, IA 52761 | 2020-10-15 |
1871063446 | Stephanie Marie Fiser | Counselor | 503 Iowa Ave, Muscatine, IA 52761 | 2018-11-27 |
1194215269 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 3426 N Port Dr Ste 200, Muscatine, IA 52761 | 2018-05-15 |
1538614086 | Sejal Savani | Dentist | 3020 N Highway 61, Muscatine, IA 52761 | 2016-08-24 |
1932468006 | Jason R Carstens | Chiropractor | 3800 Grandview Avenue, Muscatine, IA 52761 | 2012-05-10 |
1699062166 | Joyce Esther Hart-leon | Marriage & Family Therapist | 2821 Hwy 22 East., Muscatine, IA 52761 | 2011-07-06 |
1750533667 | Sunnybrook of Muscatine | Assisted Living Facility | 3515 Dianna Queen Drive, Muscatine, IA 52761 | 2008-10-22 |
1346415403 | Marcie L. Nithang | Counselor | 315 Iowa Ave., Ste. C, Muscatine, IA 52761 | 2008-04-29 |
1023238474 | Barbara Joan Gipple | Dentist | 2195 North Hill Road, Muscatine, IA 52761 | 2007-04-26 |
1154484954 | Holly Ann Krystek | Dentist | 2920 Cedar St, Muscatine, IA 52761 | 2006-12-19 |
Find all providers in zip 52761 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528594793 | Jenny Marie Weber | Nurse Practitioner | 1518 Mulberry Ave, Muscatine, IA 52761-3433 | 2017-05-10 |
1942543467 | Sarah Lauren Kersevich | Nurse Practitioner | 1518 Mulberry Ave, Muscatine, IA 52761-3433 | 2013-04-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407455017 | Amy Danielle Dobberfuhl | Nurse Practitioner | 6833 Coburn Ln, Johnston, IA 50131-1243 | 2020-10-23 |
1326586249 | Abby Blacker | Nurse Practitioner | 10633 Nw 106th Ave, Granger, IA 50109-9775 | 2017-02-11 |
1457745986 | Amanda Larson | Nurse Practitioner | 420 12th St Se, Apt 16, Le Mars, IA 51031-2800 | 2015-03-23 |
1376951715 | Leslie Arends | Nurse Practitioner | 101 College of Nursing Building, 50 Newton Rd, Iowa City, IA 52242-1121 | 2014-07-29 |
1871928093 | Catherine Ann Roche | Nurse Practitioner | 5510 Utica Ridge Rd, Suite 100, Davenport, IA 52807-2946 | 2013-09-06 |
1063758605 | Blank Childrens Hospital | Nurse Practitioner | 6540 Ne 12th Ave, Pleasant Hill, IA 50327-8828 | 2013-01-01 |
1982984183 | Amanda Marie Ostergaard | Nurse Practitioner | 974 73rd Street, Suite 33, Windsor Heights, IA 50324-1026 | 2011-08-19 |
1831498146 | Julie Louise Ritland | Nurse Practitioner | 424 Kingbard Blvd, Waterloo, IA 50701-3056 | 2011-03-25 |
1033437140 | Teresa Dale Schenck | Nurse Practitioner | 400 N. 17th St, Teresa Schenck Dnp, Keokuk, IA 52632 | 2010-05-13 |
1538313614 | Susan E Rumelhart | Nurse Practitioner | 1243 20th St Sw, Cedar Rapids, IA 52404-1635 | 2008-11-16 |
Find all providers with the same taxonomy |
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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.