SUSAN ELLIS


Address: 1609 Cedar St, Muscatine, IA 52761-3426
Phone: 5632630122

SUSAN ELLIS (NPI# 1871631796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IA BLUE CROSS BLUE SHIELD 22315 01

Other Providers SUSAN ELLIS

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

Office Location

Street Address 1609 CEDAR ST
City MUSCATINE
State IA
Zip Code 52761-3426

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City MUSCATINE
Zip Code 52761

Improve Information

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Dataset Information

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.

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