MRS. SUSAN EILEEN WALCZAK (NPI# 1912105792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912105792 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN EILEEN WALCZAK |
| Credential | RN |
| Practice Address |
16 Park St Malone NY 12953-1213 |
| Practice Telephone | 5184839346 |
| Mailing Telephone | 5184839346 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 223570-1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02298855 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396869392 | Susan Maclean Walczak | Specialist | 14140 Fairway Ln, Broomfield, CO 80020-9564 | 2007-03-17 |
| Street Address |
16 PARK ST |
| City | MALONE |
| State | NY |
| Zip Code | 12953-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264356 | Ruth Ann Williamson | Nurse Practitioner | 31 Sixth St., Malone, NY 12953 | 2020-04-20 |
| 1780203760 | Heather Lynn Lauzon | Peer Specialist | 15 Fouth St, Malone, NY 12953 | 2020-04-10 |
| 1245717115 | Darlean James | Family Medicine | 183 Park St Ste 5678, Malone, NY 12953 | 2018-07-24 |
| 1164929212 | Cheryl Ann Grant | Registered Nurse | 15 Fourth Street, Malone, NY 12953 | 2018-04-06 |
| 1811408826 | Nancy Denis | Registered Nurse | 133 Park Street, Alice Hyde Medical Center, Malone, NY 12953 | 2017-10-17 |
| 1003325424 | Tara Lynn Ellis | Registered Nurse | 23 Husky Lane, Malone, NY 12953 | 2017-09-28 |
| 1578092185 | Shanna Lee Cayea | Peer Specialist | 31 6th Street, Malone, NY 12953 | 2017-06-07 |
| 1184007809 | Alice Hyde Medical Center | Home Health | 45 Sixth St, Malone, NY 12953 | 2015-06-30 |
| 1427303353 | Melissa J Benardot | Nurse Practitioner | 380 Cty Rt 57, Community Health Center, Malone, NY 12953 | 2012-07-17 |
| 1013272202 | Shafiu Oladele Ololade | Internal Medicine | 10 Third Street, Malone, NY 12953 | 2012-07-12 |
| Find all providers in zip 12953 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811408826 | Nancy Denis | Registered Nurse | 133 Park Street, Alice Hyde Medical Center, Malone, NY 12953 | 2017-10-17 |
| 1619493558 | Vivian Lee Compton | Registered Nurse | 15 Forth St., Malone, NY 12938 | 2017-08-22 |
| 1376064279 | Katelyn Jo Jensen | Registered Nurse | W4108 Jennie Lee Ct, Malone, WI 53049-1708 | 2017-06-29 |
| 1962854422 | Christina Frederick | Registered Nurse | 355 W Main St Ste 425, Malone, NY 12953-1826 | 2016-07-08 |
| 1780001586 | Elizabeth Lucille O'connor | Registered Nurse | 11 Stevens St, Malone, NY 12953-1619 | 2014-03-19 |
| 1215378013 | Dannielle Coryea | Registered Nurse | 15 Homestead Park, Malone, NY 12953-1613 | 2013-07-10 |
| 1437434107 | Ashley Marie Lavalley | Registered Nurse | 380 Creighton Rd., Malone, NY 12953 | 2011-10-13 |
| 1689955221 | Carla Parepa Wheeler | Registered Nurse | 11 Stevens St., Malone, NY 12953 | 2011-09-08 |
| 1245523406 | Erin Streiff | Registered Nurse | 904 County Route 26, Malone, NY 12953-5846 | 2011-05-20 |
| 1265737522 | Suzanne Sharon Hughes | Registered Nurse | 494 Limekiln Road, Malone, NY 12953 | 2011-01-18 |
| Find all providers in MALONE | ||||
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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.