SUSAN SOUTHERTON (NPI# 1003327875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003327875 |
| Entity Type | Individual |
| Full Name | SUSAN SOUTHERTON |
| Credential | RN |
| Practice Address |
256 Sunset Lake Rd Liberty NY 12754-2847 |
| Practice Telephone | 8455132012 |
| Practice Fax Number | 8455132177 |
| Mailing Telephone | 8455132012 |
| Mailing Fax Number | 8455132177 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
420717-1 | NY | Nursing Service Providers |
| Street Address |
256 SUNSET LAKE RD |
| City | LIBERTY |
| State | NY |
| Zip Code | 12754-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033382601 | Senior Connections Psychological Services of New York, PC | Psychologist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2008-04-03 |
| 1316458904 | Susan Lee Madnick | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-23 |
| 1043721764 | Jenifer H Laymon | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-20 |
| 1750892584 | Susan Faith Furgison | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-19 |
| 1114438934 | Kimberly T Neves | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-19 |
| 1871004747 | Krystyna Barbara Potok | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-19 |
| 1669983532 | Suzanne B King | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-19 |
| 1407367220 | Nichelle K Dewitt | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-19 |
| 1134630056 | Wendy Cole-dean | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-18 |
| 1669983581 | John P Linen | Clinical Nurse Specialist | 256 Sunset Lake Rd, Liberty, NY 12754-2847 | 2017-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060749 | Tiffany Anne Huebsch | Registered Nurse | 52 Ferndale Loomis Rd, Liberty, NY 12754 | 2018-10-30 |
| 1548744667 | Nicole Rose | Case Manager/Care Coordinator | 50 Community Lane, Liberty, NY 12754 | 2018-09-25 |
| 1073093035 | Gelsomino and Davis Speech and Occupational Therapy | Case Management | 5 Triangle Rd Ste C, Liberty, NY 12754 | 2018-08-20 |
| 1063952935 | Kathleen F Brandt | Chiropractor | 10 Hanofee Dr., Liberty, NY 12754 | 2017-02-27 |
| 1437401924 | Shannon Marie Ostrander | Social Worker | 20 Commmunity Lane, Liberty, NY 12754 | 2012-10-08 |
| 1962788554 | Jill M Holland | Occupational Therapy Assistant | 6 Weirk Ave, Liberty, NY 12754 | 2011-10-26 |
| 1962653790 | Sylvie B Acoulon | Social Worker | 20 Community Services, Liberty, NY 12754 | 2008-10-10 |
| 1568680767 | Melanie A Cavrell | Social Worker | 76 Nature Lake Rd Ofc, Liberty, NY 12754 | 2007-04-23 |
| 1922015817 | Helen Marian Burke | Advanced Practice Midwife | 23 High Street, Monticello, NY 12754 | 2006-08-02 |
| 1427087105 | Town of Liberty Volunteer Ambulance Corps Inc | Ambulance | 178 Mill St, Liberty, NY 12754 | 2006-07-03 |
| Find all providers in zip 12754 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
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|---|---|---|---|---|
| 1932747128 | Joyce Martinez | Registered Nurse | Wards Island Complex, New York, NY 10035-6095 | 2019-12-18 |
| 1184275554 | Margarette Douglas | Registered Nurse | 1500 Waters Pl # 10461, Bronx, NY 10461-2723 | 2019-09-26 |
| 1982252268 | Natalie Rivera | Registered Nurse | 2223 Amsterdam, New York, NY 10032 | 2019-08-29 |
| 1568016889 | Deborah L Proscher | Registered Nurse | 167 S Parliman Rd, Lagrangeville, NY 12540-6817 | 2019-07-25 |
| 1689235350 | Patricia Rosemary Downer-bandoo | Registered Nurse | 250 W 2nd St Ph, Mount Vernon, NY 10550-2829 | 2019-06-24 |
| 1477012839 | Dinette Phildor | Registered Nurse | 13545 223rd St, Laurelton, NY 11413-2341 | 2019-03-15 |
| 1669936373 | Tanya Lavonne Woods | Registered Nurse | 10 Spindrift Ct Apt 6, Williamsville, NY 14221-7853 | 2019-01-27 |
| 1326513912 | Kurt H. Leggard | Registered Nurse | 1661 Millstone Rd, Sag Harbor, NY 11963-2211 | 2018-10-10 |
| 1770092371 | Nadege M Rihan | Registered Nurse | 3000 Eastchester Road, Bronx, NY 10469 | 2017-09-26 |
| 1720512007 | Patrice Collins | Registered Nurse | 101-125 W 147th St, Apt 8c, New York, NY 10039-4301 | 2017-04-13 |
| Find all providers with the same taxonomy | ||||
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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.