SUSAN CAMPBELL (NPI# 1891337952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891337952 |
Entity Type | Individual |
Full Name | SUSAN CAMPBELL |
Practice Address |
30 Lafayette Sq Ste 109 Vernon CT 06066-4554 |
Mailing Address |
80 Perkins St Springfield MA 01118-2044 |
Practice Telephone | 8604540303 |
Mailing Telephone | 8609223915 |
Enumeration Date | 2019-10-10 |
Last Update Date | 2019-11-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
8426 | CT | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356596605 | Susan Adams Campbell | Occupational Therapist | 205 Albemarle Rd, Brooklyn, NY 11218-2307 | 2008-11-28 |
1669660577 | Susan Elizabeth Campbell | Licensed Practical Nurse | 93 Lyndale Dr, Painesville, OH 44077-4939 | 2007-10-05 |
1568688281 | Susan A. Campbell | Acupuncturist | 3038 Fawnwood Dr, Ellicott City, MD 21042-2322 | 2007-04-18 |
1740308329 | Susan Louise Campbell | Dietitian, Registered | 6900 Ulmerton Rd, #51, Largo, FL 33771-4948 | 2007-03-26 |
1417061789 | Susan S. Campbell | Counselor | 965 S 100 W Ste 203, Logan, UT 84321-6071 | 2006-08-17 |
1134136625 | Susan B. Campbell | Pediatrics | 2201 Murphy Ave Suite 207, Nashville, TN 37203-1538 | 2006-08-01 |
1063413029 | Susan L Campbell | Advanced Practice Midwife | 2131 East State St., Athens, OH 45701 | 2005-08-02 |
1669005815 | Susan Marie Campbell | Occupational Therapist | 3452 Lake Lynda Dr Ste 200, Orlando, FL 32817-1481 | 2020-02-17 |
1972950939 | Susan Campbell | Nurse Practitioner | 1376 Highway 36, Hazlet, NJ 07730-1716 | 2016-05-19 |
1003156407 | Susan Brien Campbell | Nurse Practitioner | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2013-02-21 |
Street Address |
30 LAFAYETTE SQ STE 109 |
City | VERNON |
State | CT |
Zip Code | 06066-4554 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629462940 | Catherine Louise Francis | Nurse Practitioner | 30 Lafayette Sq Ste 109, Vernon, CT 06066-4554 | 2015-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659992204 | Kumeh Bestman | Social Worker | 41 Jeff Road, Vernon, CT 06066 | 2020-05-05 |
1114567922 | Irina Bratan | Nurse Practitioner | 35 Talcottvile Road, Vernon, CT 06066 | 2020-01-09 |
1457833899 | Jessica Elizabeth Navallil | Pharmacist | 188 Union Street, Vernon, CT 06066 | 2018-09-02 |
1528557709 | Andre Spence | Counselor | 66 Orchard St, Vernon, CT 06066 | 2018-05-03 |
1992207468 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 400-1 Talcottville Rd, Vernon, CT 06066 | 2018-03-01 |
1811425754 | Patricia Cosgrove Barresi | Occupational Therapy Assistant | 1253 Hartford Turnpike, Vernon, CT 06066 | 2017-05-23 |
1922539592 | Ctuc01 | Clinic/Center | 179 Talcottville Rd, Vernon, CT 06066 | 2017-03-24 |
1558804070 | First Choice Health Centers, Inc. | Clinic/Center | 94 Union Sreet, 2nd Floor, Vernon, CT 06066 | 2016-12-01 |
1235685504 | Lotus Behavioral Consultation | Day Training, Developmentally Disabled Services | 3 Raymond Street, Vernon, CT 06066 | 2016-08-28 |
1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
Find all providers in zip 06066 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649885021 | Mary Margaret Thompson | Nurse Practitioner | 4301 College Dr Rm 700, Vernon, TX 76384-3166 | 2020-09-11 |
1790251668 | Stephania N Dawiczyk | Nurse Practitioner | 520 Hartford Tpke Ste M, Vernon, CT 06066-5044 | 2018-10-18 |
1427532993 | Milos Tomic | Nurse Practitioner | 27 Naek Rd Ste 2, Vernon, CT 06066-3965 | 2018-09-20 |
1376052860 | Mary Hazel Brantley | Nurse Practitioner | 4301 College Dr Rm 400, Vernon, TX 76384-3166 | 2017-09-27 |
1992253090 | Crystal Mccoy | Nurse Practitioner | 44946 Highway 17, Vernon, AL 35592-3542 | 2016-09-17 |
1629462940 | Catherine Louise Francis | Nurse Practitioner | 30 Lafayette Sq Ste 109, Vernon, CT 06066-4554 | 2015-03-25 |
1649692922 | Amber Diane Pennington | Nurse Practitioner | 110 Medical Clinic Drive, Vernon, AL 35592 | 2014-01-06 |
1437162583 | James Kelly | Nurse Practitioner | 554 Talcottville Rd, Vernon, CT 06066-2310 | 2006-08-13 |
1326095944 | Dawn Rene', Inc. | Nurse Practitioner | 3027 Main St, Post Office Box 829, Vernon, FL 32462-2220 | 2006-05-28 |
1215981667 | Dawn Rene Frost | Nurse Practitioner | 3027 Main Street, Vernon, FL 32462-2220 | 2006-05-20 |
Find all providers in VERNON |
Please comment or provide details below to improve the information on SUSAN CAMPBELL.
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.