SUSAN M KLOTZ (NPI# 1033555933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033555933 |
| Entity Type | Individual |
| Full Name | SUSAN M KLOTZ |
| Credential | FNP-C |
| Practice Address |
609 E Wells St Ste B Ash Grove MO 65604-9087 |
| Mailing Address |
12374 W Farm Road 60 Ash Grove MO 65604-8766 |
| Practice Telephone | 4172343621 |
| Practice Fax Number | 9496557855 |
| Mailing Telephone | 4172343621 |
| Mailing Fax Number | 9496557855 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2013012284 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1033555933 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1235 E Cherokee St, Floor 2d, Springfield, MO 658042203 | 4178202364 | 4178207136 |
| 12374 W Farm Road 60, Ash Grove, MO 656048766 | 1417234362 | 9496557855 |
| Street Address |
609 E WELLS ST STE B |
| City | ASH GROVE |
| State | MO |
| Zip Code | 65604-9087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738735 | Your Health Consultant | Clinic/Center | 609 E Wells St Ste B, Ash Grove, MO 65604-9087 | 2020-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457695165 | Sun Lakes Therapy | Skilled Nursing Facility | 21094 Lawrence 2072, Ash Grove, MO 65604 | 2012-11-19 |
| 1225173354 | Roy Crocker | Counselor | 393 Lawrence 1189, Ash Grove, MO 65604 | 2007-02-20 |
| 1053425025 | Ash Grove Pharmacy Inc | Pharmacy | 490 N Medical Dr, Ash Grove, MO 65604-1004 | 2006-08-18 |
| 1386624906 | Citizens Memorial Health Care Foundation | Skilled Nursing Facility | 401 N Medical Dr, Ash Grove, MO 65604-1004 | 2006-01-19 |
| 1417969106 | Barbara D. Hudson | Nurse Practitioner | 500 N Medical Dr, Ash Grove, MO 65604-1005 | 2006-08-12 |
| 1639444318 | Citizens Memorial Health Care Foundation | Durable Medical Equipment & Medical Supplies | 500 N Medical Dr, Ash Grove, MO 65604-1005 | 2012-03-14 |
| 1578795001 | Lori Leanne Soper | Physical Therapy Assistant | 500 N Medical Dr, Ash Grove, MO 65604-1005 | 2009-08-18 |
| 1417161449 | Citizens Memorial Healthcare | Clinic/Center | 500 N Medical Dr, Ash Grove, MO 65604-1005 | 2007-05-09 |
| 1184738924 | Richard A Boyd | Psychologist | 500 N Medical Dr, Ash Grove, MO 65604-1005 | 2006-08-18 |
| 1770857294 | Jennifer J Collier | Social Worker | 21076 Lawrence 1212, Ash Grove, MO 65604-7112 | 2012-03-01 |
| Find all providers in zip 65604 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417969106 | Barbara D. Hudson | Nurse Practitioner | 500 N Medical Dr, Ash Grove, MO 65604-1005 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1417556994 | Tory Linn Francis | Nurse Practitioner | 19155 Fry Rd, Edgerton, MO 64444-9037 | 2020-10-26 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| 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.