MR. SUSAN JOANN SPEAR (NPI# 1891333183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891333183 |
Entity Type | Individual |
Full Name | MR. SUSAN JOANN SPEAR |
Other Name | SUSAN JOANN RUSSO |
Credential | RN |
Practice Address |
3400 N Woods Ln Rogers AR 72756-6712 |
Practice Telephone | 4796363190 |
Practice Fax Number | 4796364587 |
Mailing Telephone | 4796363190 |
Mailing Fax Number | 4796364587 |
Enumeration Date | 2019-12-17 |
Last Update Date | 2019-12-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
R084531 | AR | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | RN LICENSE | R084531 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275766578 | Susan Spear | Pediatrics | 225 W 83rd St Apt 14f, New York, NY 10024-4960 | 2009-09-02 |
1023649464 | Susan Spear | Nutritionist | 3321 E Queen Creek Rd Ste 106, Gilbert, AZ 85297-8530 | 2020-02-03 |
1043217755 | Susan Elaine Spear | Nurse Practitioner | 1090 Commerce Dr, Prescott, AZ 86305 | 2005-07-07 |
Street Address |
3400 N WOODS LN |
City | ROGERS |
State | AR |
Zip Code | 72756-6712 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356655203 | Erin Frazier | Speech-Language Pathologist | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2010-08-03 |
1619593241 | Shannon Marie Kelly | Registered Nurse | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2020-06-19 |
1700402344 | Brandi Marie Gunn | Licensed Practical Nurse | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2020-06-19 |
1225663214 | Joyce Kathleen Deshields | Licensed Practical Nurse | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2020-03-10 |
1821547837 | Yvonne Sears | Occupational Therapist | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2016-10-03 |
1356721773 | Hannah Melton | Occupational Therapist | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2015-06-01 |
1447654017 | Jennifer Marie Newell | Physical Therapy Assistant | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2014-10-10 |
1548663719 | Andrea Rogers Vanhecke | Early Intervention Provider Agency | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2014-10-02 |
1336493998 | Mallory Renae Berry | Specialist/Technologist | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2012-11-05 |
1861777518 | Elizabeth Brown | Occupational Therapist | 3400 N Woods Ln, Rogers, AR 72756-6712 | 2011-10-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
1669009049 | Keller Davis Sims | Physical Therapist | 2403 W Hudson Rd Ste, Ste 1, Rogers, AR 72756 | 2020-03-25 |
1437692720 | Ginah Brianne Porter | Counselor | 1108 Poplar Pl, Rogers, AR 72756 | 2016-11-18 |
1629404868 | Natalie Elizabeth Myers | Occupational Therapy Assistant | 1000 West Poplar St, Rogers, AR 72756 | 2013-09-19 |
1295081529 | Aaron Lee Matthews Sr. | Counselor | 411 W Poplar St., Rogers, AR 72756 | 2012-07-24 |
1538420286 | Allison R Corter | Speech-Language Pathologist | 1000 W. Poplar St, Rogers, AR 72756 | 2012-05-30 |
1871859496 | Fisher Denture & Dental Care | Dentist | 4404 W. Walnut, Suite 2, Rogers, AR 72756 | 2012-04-09 |
1407130487 | Timeni Strauss | Occupational Therapy Assistant | 1000 W. Poplar Street, Rogers, AR 72756 | 2011-10-07 |
1316192768 | William Barton Tate | Obstetrics & Gynecology | 1233 Poplar Pl, Rogers, AR 72756 | 2008-11-27 |
1093905069 | Sunshine School & Development Center | Day Training, Developmentally Disabled Services | 3400 Woods Lanee, Rogers, AR 72756 | 2007-07-26 |
Find all providers in zip 72756 |
Taxonomy Code | 163WG0000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750946984 | Wenesh M. Oboso | Registered Nurse | 3301 Ridgway Rd Apt B6, Pine Bluff, AR 71603-7434 | 2019-05-02 |
1205011541 | Kathy Lynette Woods | Registered Nurse | 1101 S Tennessee St, Pine Bluff, AR 71601-5801 | 2008-01-06 |
1790716314 | Billy H Noel | Registered Nurse | 1069 S Sharpe Ave, Booneville, AR 72927-4683 | 2006-07-05 |
1184695116 | William J Cauley | Registered Nurse | 7 Alina Ln, Hot Springs Village, AR 71909-3425 | 2006-01-28 |
1295360360 | Hannah Cagle | Registered Nurse | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2020-03-09 |
1609333269 | Shanna Mckeller | Registered Nurse | 201 Airport Rd, Hot Springs, AR 71913-4060 | 2019-03-01 |
1548725716 | Carrie Yates | Registered Nurse | 1000 W Buchanan St, Clarksville, AR 72830-2252 | 2019-02-01 |
1962996538 | Leah K Cruthis | Registered Nurse | 4301 W Markham St, Little Rock, AR 72205-7101 | 2018-06-18 |
1518459965 | Amanda Dawn Manning | Registered Nurse | 2900 Se Moberly Ln, Bentonville, AR 72712 | 2018-06-01 |
1275024127 | Iris Louise Berry | Registered Nurse | 3215 N Northhills Blvd, Fayetteville, AR 72703 | 2018-05-27 |
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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.