SUSAN CAROL IMKE (NPI# 1043444961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043444961 |
| Entity Type | Individual |
| Full Name | SUSAN CAROL IMKE |
| Credential | F.N.P. |
| Practice Address |
1305 Airport Fwy Suite 205 Bedford TX 76021-6605 |
| Practice Telephone | 8172676290 |
| Practice Fax Number | 8172670950 |
| Mailing Telephone | 8172676290 |
| Mailing Fax Number | 8172670950 |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2012-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 229206 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1305 AIRPORT FWY SUITE 205 |
| City | BEDFORD |
| State | TX |
| Zip Code | 76021-6605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304743 | James Marcellus Barry Jr. | Psychiatry & Neurology | 1305 Airport Fwy, Ste 205, Bedford, TX 76021-6606 | 2005-05-24 |
| 1033636477 | Amanda Dutro | Nurse Practitioner | 1305 Airport Fwy, Bedford, TX 76021-6605 | 2017-08-26 |
| 1811344302 | Cardiac Cath Lab of Mid Cities, Lp | Clinic/Center | 1305 Airport Fwy, Suite 121, Bedford, TX 76021-6605 | 2016-05-16 |
| 1356798854 | Mid Cities Asc, Lp | Clinic/Center | 1305 Airport Fwy, Suite 123, Bedford, TX 76021-6605 | 2016-05-16 |
| 1548644610 | Venkatesan D. Vidi, Md Pllc | Internal Medicine | 1305 Airport Fwy, Ste 421, Bedford, TX 76021-6605 | 2015-07-17 |
| 1801273800 | Manchester Interventional Pain Center LLC | Nurse Anesthetist, Certified Registered | 1305 Airport Fwy, Suite 103, Bedford, TX 76021-6605 | 2015-04-29 |
| 1174917108 | Ashland Interventional Pain Center LLC | Nurse Anesthetist, Certified Registered | 1305 Airport Fwy, Suite 103, Bedford, TX 76021-6605 | 2015-03-27 |
| 1104214642 | Kensington Interventional Pain Center, LLC | Clinic/Center | 1305 Airport Fwy, Suite 103, Bedford, TX 76021-6605 | 2015-01-07 |
| 1326458191 | Mid-cities Cardiac Care Center, Pllc | Clinic/Center | 1305 Airport Fwy, Suite 421, Bedford, TX 76021-6605 | 2014-05-02 |
| 1700228343 | Fisher Cardiology and Electrophyisology | Internal Medicine | 1305 Airport Fwy, Suite 421, Bedford, TX 76021-6605 | 2013-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
| 1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
| 1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
| 1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
| 1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
| 1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
| 1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
| 1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
| Find all providers in zip 76021 | ||||
| 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 |
|---|---|---|---|---|
| 1821622911 | Mh Health Care Services, PC | Nurse Practitioner | 125 Middlesex Tpke, Bedford, MA 01730-1409 | 2020-02-27 |
| 1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
| 1972079788 | Mychelle Baxter | Nurse Practitioner | 1900 Wimbleton Dr, Bedford, TX 76021-2554 | 2018-10-18 |
| 1225579063 | Fc Indiana, LLC | Nurse Practitioner | 2418 16th St, Bedford, IN 47421-3049 | 2017-03-13 |
| 1689021917 | Doctors Extenders, Inc | Nurse Practitioner | 1104 Monterrey St, Bedford, TX 76022-7531 | 2016-05-17 |
| 1710137245 | Kristen Kay Brooks | Nurse Practitioner | 2217 Murphy Dr Apt 2026, Bedford, TX 76021 | 2008-09-20 |
| 1376665422 | Integrated Pain Care of Bedford, LLC | Nurse Practitioner | 706 Riverway Place, Bedford, NH 03110-6768 | 2007-04-06 |
| 1982706180 | Dorothy A Sullivan | Nurse Practitioner | 262 S River Rd, Bedford, NH 03110-6916 | 2006-09-01 |
| 1528001377 | Carolyn Finocchiaro | Nurse Practitioner | 306 Riverway Pl, Bedford, NH 03110-6764 | 2006-06-13 |
| 1164470944 | Denise Doyle | Nurse Practitioner | 1017 14th St, Bedford, IN 47421-3510 | 2006-05-04 |
| Find all providers in BEDFORD | ||||
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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.