SUSAN M GISLER


Address: 3917 West Rd, Ste 128, Los Alamos, NM 87544-2275
Phone: 5056624234

SUSAN M GISLER (NPI# 1902890593) 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) 1902890593
Entity Type Individual
Full Name SUSAN M GISLER
Credential CNP
Practice Address 3917 West Rd
Ste 128
Los Alamos
NM 87544-2275
Mailing Address 101 Benyl St
Los Alamos
NM 87544
Practice Telephone 5056624234
Practice Fax Number 5056627894
Mailing Telephone 5056729578
Mailing Fax Number 5056627894
Enumeration Date 2005-09-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
R24089 NM Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 51342 05

Other Providers SUSAN GISLER

NPI Name Taxonomy Address Enumeration
1639309537 Susan M Gisler Physical Therapist 101 Manning Dr, Dept of Physical Therapy, Chapel Hill, NC 27514-4220 2009-07-27

Office Location

Street Address 3917 WEST RD
STE 128
City LOS ALAMOS
State NM
Zip Code 87544-2275

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225031321 Jan M Merin Internal Medicine 3917 West Rd, Los Alamos, NM 87544-2275 2005-05-23
1366089237 Gonzalo A Diaz Internal Medicine 3917 West Rd, Los Alamos, NM 87544-2275 2019-12-10
1124576327 Clay Schneider Nurse Practitioner 3917 West Rd, Los Alamos, NM 87544-2275 2016-09-15
1093167330 Laura K Merrigan Nurse Practitioner 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 2016-07-11
1043675473 Total Renal Care Inc Clinic/Center 3917 West Rd, Ste G-02, Los Alamos, NM 87544-2275 2015-12-30
1225414253 Sarah Versackas Registered Nurse 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 2015-07-31
1700273745 Apogee Medical Group General Acute Care Hospital 3917 West Rd, Los Alamos, NM 87544-2275 2015-04-16
1679965883 Los Alamos Emergency Medical Associates Inc Emergency Medicine 3917 West Rd, Los Alamos, NM 87544-2275 2015-02-25
1659773612 Eric Jonathan Krinsky Physician Assistant 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 2014-09-22
1740681311 Robin Jean Norman Physician Assistant 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 2014-09-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679945935 Zia Home Health Home Health 1475 Central Ave., Suite 125, Los Alamos, NM 87544 2015-10-27
1295131167 Sara Pocernik Dietitian, Registered 1450 Iris Street, Los Alamos, NM 87544 2014-11-05
1760824890 Lisa Renee Marr Lyon Psychologist 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 2013-07-17
1558629725 Rachel Meyer Dentist 112 Central Park Square, Los Alamos, NM 87544 2012-04-25
1902183908 Susana T. Chavarria Occupational Therapist 5 Quemazon Pl., Los Alamos, NM 87544 2011-11-04
1881998664 Dr. Tom Child and Adolescent Medicine Pediatrics Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 2011-01-07
1952565905 Dawn Judy Barr Social Worker 3 Agila Ct, Los Alamos, NM 87544 2008-07-17
1649452129 Ellen Vandergust Ballard Dentist 111 Longview, Suite B-3, White Rock, NM 87544 2007-11-27
1629290283 Wildwind Dental Dentist 111 Longview Drive, Suite B3, Los Alamos, NM 87544 2007-05-03
1255407342 Sarah Sue Teasdale Counselor 1362 C Trinity Dr, Los Alamos, NM 87544 2006-11-28
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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 state

NPI Name Taxonomy Address Enumeration
1558960153 Renea M Reano Nurse Practitioner 4701 Irving Blvd Nw Apt 508, Albuquerque, NM 87114-3906 2020-10-23
1104433952 Joli Ann Martinez Nurse Practitioner 2028 Coba Rd Se, Rio Rancho, NM 87124-8913 2020-09-25
1124642772 Little Steps Pediatrics LLC Nurse Practitioner 1990 E Lohman Ave Ste A, Las Cruces, NM 88001-3117 2020-05-29
1558865980 Kirsten Shelby Guerra Nurse Practitioner 4401 E. Lohman Ave ., Suite A, Las Cruces, NM 88011 2018-03-21
1225552094 Sacheen Diahn Naddy Nurse Practitioner 8650 Alameda Blvd Ne # 101, Albuquerque, NM 87122-3791 2017-08-02
1336661958 Camille Caroline Walker Nurse Practitioner 437 Loma Linda Loop Ne, Rio Rancho, NM 87124-4717 2017-07-14
1700242112 Gustavo Gutierrez Nurse Practitioner 800 S County Line Dr, Chaparral, NM 88081 2016-01-14
1689040461 Elizabeth Rodgers Nurse Practitioner 700 Lomas Blvd Ne, 3 Woodward Center, Albuquerque, NM 87102 2015-08-17
1891026563 Lori Myers Nurse Practitioner 1721 Rio Rancho Blvd. Nw, Rio Rancho, NM 87124 2010-01-20
1972833523 Deborah J Angeles Nurse Practitioner 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103-5103 2010-01-04
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Competitor

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City LOS ALAMOS
Zip Code 87544

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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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