MRS. ELIZA REBECCA SUDBURY (NPI# 1023407640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023407640 |
| Entity Type | Individual |
| Full Name | MRS. ELIZA REBECCA SUDBURY |
| Credential | MSN, APRN, FNP-C |
| Practice Address |
1915 Holton Rd Muskegon MI 49445-1533 |
| Mailing Address |
Po Box 1848 Muskegon MI 49443-1848 |
| Practice Telephone | 2136723333 |
| Mailing Telephone | 2317274444 |
| Mailing Fax Number | 2317284789 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704266035 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1915 HOLTON RD |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49445-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780661546 | Shelley Lynn Anderson | Family Medicine | 1915 Holton Rd, Muskegon, MI 49445-1533 | 2005-12-22 |
| 1972533396 | David K Wilson | Family Medicine | 1915 Holton Rd, Muskegon, MI 49445-1533 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659880961 | Northshore Dental Associates P.C. | Dentist | 1179 Whitehall Road, Suite A, Muskegon, MI 49445 | 2017-09-29 |
| 1154874311 | Debbie Freed | Contractor | 3444 Automobile Road, Muskegon, MI 49445 | 2016-07-25 |
| 1346698784 | Spectrum Health Primary Care Partners | Internal Medicine | 2009 Holton Road, Muskegon, MI 49445 | 2016-05-26 |
| 1750637492 | Zenaida Vasquez-johnson | Dental Hygienist | 650 Horton Road, N. Muskegon, MI 49445 | 2012-07-31 |
| 1467735654 | Richard Thomas Poort | Pharmacist | 1771 Holton Rd., Muskegon, MI 49445 | 2011-09-23 |
| 1558543322 | Dawn June Prince | Technician/Technologist | 1343 Whitehall Road, Muskegon, MI 49445 | 2007-12-03 |
| 1578602397 | Eric David Stawski | Dentist | 1634 Holton Road, Muskegon, MI 49445 | 2007-02-06 |
| 1386700318 | Sharon Rubick | Durable Medical Equipment & Medical Supplies | 2411 Lake Ave, #21, North Muskegon, MI 49445 | 2006-12-27 |
| 1962574129 | Thompson Greig Boyd | Dentist | 200 Holton Rd, Suite H, North Muskegon, MI 49445 | 2006-11-14 |
| 1467548974 | Stephanie Jo Grinstead | Physical Therapy Assistant | 1712 Holton Road, Suite B, Muskegon, MI 49445 | 2006-10-04 |
| Find all providers in zip 49445 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043798457 | Laura Kay Semelbauer | Nurse Practitioner | 1935 Harding Ave, Muskegon, MI 49441-1539 | 2018-07-30 |
| 1538511688 | Alan D Waters | Nurse Practitioner | 957 Brookhaven Ct Ste 3&4, Muskegon, MI 49442-3890 | 2016-07-12 |
| 1245364744 | Michelle R. Faber | Nurse Practitioner | 1150 E Sherman Blvd Ste 1175, Muskegon, MI 49444-1885 | 2007-03-15 |
| 1740294990 | Carol Powers | Nurse Practitioner | 1787 Wagner Ave, Muskegon, MI 49442-2463 | 2006-07-27 |
| 1114973500 | Hackley Hospital Fiscal Services | Nurse Practitioner | 5969 Harvey St, Suite B, Muskegon, MI 49444-8801 | 2006-05-26 |
| 1043290737 | Cindy Jandron | Nurse Practitioner | 165 E Apple Ave, Suite # 201, Muskegon, MI 49442-3463 | 2006-01-19 |
| 1619589223 | Brenna Jean Long | Nurse Practitioner | 2201 S Getty St, Muskegon, MI 49444-1207 | 2020-08-17 |
| 1467977611 | Lindsey M Mcneil | Nurse Practitioner | 1212 E Sherman Blvd, Muskegon, MI 49444-1879 | 2017-08-09 |
| 1841641990 | Katherine Weichhand | Nurse Practitioner | 2009 Holton Rd, Muskegon, MI 49445-1578 | 2016-06-29 |
| 1154707743 | Katie M Alfredson | Nurse Practitioner | 1675 Leahy St, Suite 201a, Muskegon, MI 49442-5500 | 2015-08-05 |
| Find all providers in MUSKEGON | ||||
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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.