SUSAN HAWTHORNE (NPI# 1043869456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043869456 |
| Entity Type | Individual |
| Full Name | SUSAN HAWTHORNE |
| Practice Address |
2918 Sunridge Place Imperial MO 63052 |
| Mailing Address |
2918 Sun Ridge Pl Imperial MO 63052 |
| Practice Telephone | 6362967704 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2020-05-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679797096 | Susan Carnahan Hawthorne | Social Worker | 5944 Luther Ln, Suite402, Dallas, TX 75225-5942 | 2007-04-13 |
| Street Address |
2918 SUNRIDGE PLACE |
| City | IMPERIAL |
| State | MO |
| Zip Code | 63052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801419601 | Junction Bracing & Pt | Physical Therapist | 4924d Sean Drive, Imperial, MO 63052 | 2020-05-27 |
| 1275877805 | Ride On St Louis, Inc. | Residential Treatment Facility, Physical Disabilities | 6008 Windsor Harbor Ln, Imperial, MO 63052 | 2012-11-20 |
| 1861778029 | Kelli Allen | Counselor | 6106 Kensington Court, Imperial, MO 63052 | 2011-11-01 |
| 1972730091 | Laura Ann Bequette | Optometrist | 1259 Main Street Plaza, Imperial, MO 63052 | 2009-06-16 |
| 1437329133 | All Care Transport, Inc. | Non-emergency Medical Transport (VAN) | 5844 Hwy. 61-67, Imperial, MO 63052 | 2008-03-10 |
| 1578029419 | Laura Lea Raineri | Nurse Practitioner | 1254 Main St, Imperial, MO 63052 | 2019-02-15 |
| 1033362900 | Angela Fears | Speech-Language Pathologist | 6208 Us Highway 61/67, Imperial, MO 63052 | 2008-10-23 |
| 1437302379 | Mary Peterein | Speech-Language Pathologist | 6208 Us Highway 61/67, Imperial, MO 63052 | 2008-10-23 |
| 1780651984 | Charles J Johnson | Chiropractor | 1006 Main Street, Suite B, Imperial, MO 63052 | 2006-03-07 |
| 1336381029 | Kimberly Garrett | Counselor | 3645 Blecha Rd, Imperial, MO 63052-1123 | 2009-03-27 |
| Find all providers in zip 63052 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003293 | Christina Cornejo | Technician | 2306 Christi Ave, Imperial, CA 92251-8834 | 2019-09-23 |
| 1881206019 | Deborah Claudian Waters | Technician | 2306 Christi Ave, Imperial, CA 92251-8834 | 2020-08-19 |
| 1932750619 | Lisa Ann Waters Ayers | Technician | 2306 Christi Ave, Imperial, CA 92251-8834 | 2019-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062156 | Sherri Ramsey Hawkins | Technician | 9155 Cozens Ave, Saint Louis, MO 63136-4078 | 2020-11-01 |
| 1760009575 | Simone Mcgary | Technician | 2480 Lampong Dr Apt 100c, Saint Louis, MO 63125-3145 | 2020-06-26 |
| 1396367025 | Rebekah Joy Carlson | Technician | 111 Walkin Rd, Iberia, MO 65486-9700 | 2020-05-15 |
| 1962024752 | Brittany Evans | Technician | 8301 Hawkesbury Dr, Saint Louis, MO 63121-1004 | 2020-05-14 |
| 1487276309 | Diana Denise Norman | Technician | 7218 Virginia Ave, Saint Louis, MO 63111-3018 | 2020-05-13 |
| 1023639762 | Mary Morlean | Technician | 2489 Ripley Route T, Oxly, MO 63955-5963 | 2020-05-05 |
| 1992324438 | Betty Anne Bogart | Technician | 19108 Old Bb, Holt, MO 64048-8751 | 2020-04-14 |
| 1689208332 | Josie Ryan Smith | Technician | 10450 Ne Reinking Rd, Kansas City, MO 64156-1122 | 2020-03-02 |
| 1669017331 | Adria Marie Mckenna | Technician | 5028 Clayridge Dr Apt 309, Saint Louis, MO 63129-1251 | 2019-11-16 |
| 1629613054 | Theodore Laux | Technician | 707 E 7th St, Portageville, MO 63873-1507 | 2019-11-08 |
| 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.