MRS. SUSAN KATHERINE FRADY (NPI# 1083935001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083935001 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN KATHERINE FRADY |
| Credential | FNP |
| Practice Address |
715 S 9th St Canon City CO 81212-4911 |
| Mailing Address |
1203 Elm Ave Canon City CO 81212-4829 |
| Practice Telephone | 7192698820 |
| Practice Fax Number | 7192040230 |
| Mailing Telephone | 3039816221 |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2016-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 10059 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 60539577 | 05 |
| Street Address |
715 S 9TH ST |
| City | CANON CITY |
| State | CO |
| Zip Code | 81212-4911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913086 | Jennifer K Button | Physician Assistant | 715 S 9th St, Canon City, CO 81212-4911 | 2005-06-24 |
| 1295369908 | Jessica Blu Erickson | Nurse Practitioner | 715 S 9th St, Canon City, CO 81212-4911 | 2020-03-03 |
| 1013540921 | Diana Maria Clouthier | Family Medicine | 715 S 9th St, Canon City, CO 81212-4911 | 2020-02-19 |
| 1376191569 | Jeremy Duane Johnson | Physician Assistant | 715 S 9th St, Canon City, CO 81212-4911 | 2019-08-30 |
| 1225696800 | Mary Kathryn Abraham | Physician Assistant | 715 S 9th St, Canon City, CO 81212-4911 | 2019-05-30 |
| 1396221362 | Alicia Kielas | Nurse Practitioner | 715 S 9th St, Canon City, CO 81212-4911 | 2018-07-12 |
| 1396275871 | Jennifer Leigh Simpson | Nurse Practitioner | 715 S 9th St, Canon City, CO 81212-4911 | 2017-06-15 |
| 1003215344 | Paula Jiron-finn | Nurse Practitioner | 715 S 9th St, Canon City, CO 81212-4911 | 2014-08-21 |
| 1043558109 | Sarah Troemel | Nurse Practitioner | 715 S 9th St, Canon City, CO 81212-4911 | 2013-01-24 |
| 1114203502 | Patricia L Berndt | Nurse Practitioner | 715 S 9th St, Canon City, CO 81212-4911 | 2011-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212393 | Buck Jack LLC | Physical Therapist | Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 | 2020-10-09 |
| 1942841374 | Glorious Works Neurotherapy | Community/Behavioral Health | 115 N 7th Street, Canon City, CO 81212 | 2019-10-07 |
| 1376046292 | Lonnie Mccarron | Social Worker | 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 | 2018-03-16 |
| 1487156964 | Patrick Neil Cox | Case Manager/Care Coordinator | 3239 Independence Road, Canon City, CO 81212 | 2018-03-01 |
| 1831559806 | Justin Ensinger | Counselor | 700 Four Mile Parkway, Canon City, CO 81212 | 2016-03-03 |
| 1710365713 | Amber Conover | Health Educator | 105 N 10th Street, Canon City, CO 81212 | 2015-05-11 |
| 1902073448 | Richard R Williams | Counselor | 612 Field Ave, Canon City, CO 81212 | 2008-05-14 |
| 1861662249 | Huh Inc | Hearing Instrument Specialist | 121 Justice Center Rd Ste D, Canon City, CO 81212 | 2008-03-03 |
| 1013113828 | Deborah Eileen Shock | Nurse Practitioner | 275 W Hwy 50, Canon City, CO 81212 | 2007-06-27 |
| 1245433564 | Lindsey Elizabeth Fish | Internal Medicine | 275 West Hwy 50, Colorado Territorial Correctional Facility, Canon City, CO 81212 | 2007-06-06 |
| Find all providers in zip 81212 | ||||
| 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 |
|---|---|---|---|---|
| 1295787208 | Shirley Ann Sawyer | Nurse Practitioner | 3245 E Us Highway 50 Unit E, Canon City, CO 81212-9343 | 2006-05-17 |
| 1356990360 | Jessie M Niedens | Nurse Practitioner | 614 Yale Pl, Canon City, CO 81212-4611 | 2019-09-11 |
| 1982844478 | Colorado Em-i Medical Services, P.C. | Nurse Practitioner | 1338 Phay Ave, Canon City, CO 81212-2302 | 2009-02-24 |
| 1265588313 | Dawn Michele Atkinson | Nurse Practitioner | 1338 Phay Ave Bldg D, Canon City, CO 81212 | 2007-01-25 |
| 1023044047 | Marsha L. Coberly | Nurse Practitioner | 1338 Phay Ave, St Thomas More Hospital, Canon City, CO 81212 | 2006-06-23 |
| 1306804976 | Constance R Batson | Nurse Practitioner | 1210 Main St, Canon City, CO 81212 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235952 | Che Pimentel | Nurse Practitioner | 16067 6030 Rd, Montrose, CO 81403-9609 | 2020-11-08 |
| 1720689789 | Noco New Beginnings | Nurse Practitioner | 1019 39th Ave Ste J, Greeley, CO 80634-2501 | 2020-11-05 |
| 1144827825 | Krs Health LLC | Nurse Practitioner | 3362 Dovetail Dr, Berthoud, CO 80513-8931 | 2020-10-06 |
| 1508471772 | Anne Judd | Nurse Practitioner | 7114 Avondale Rd, Fort Collins, CO 80525-8210 | 2020-09-14 |
| 1891300950 | Autumn Albert | Nurse Practitioner | 1295 Kelly Johnson Blvd Ste 110, Colorado Springs, CO 80920-3978 | 2020-09-14 |
| 1295349462 | Katherine Pedersen | Nurse Practitioner | 3827 N Lafayette St, Denver, CO 80205-3339 | 2020-09-03 |
| 1255944922 | Melissa Mathern | Nurse Practitioner | 7818 S Hill Cir, Littleton, CO 80120-4320 | 2020-08-24 |
| 1902416233 | Aja Danielle Petracca-lennon | Nurse Practitioner | 1044 Diamond Rim Dr, Colorado Springs, CO 80921-8429 | 2020-08-02 |
| 1245849637 | Stacy Shomo | Nurse Practitioner | 1688 Valley Oak Ct, Castle Rock, CO 80104-2211 | 2020-07-30 |
| 1376151902 | Victoria Marie Rallens | Nurse Practitioner | 316 N 3rd Ave, Sterling, CO 80751-3110 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
| City | CANON CITY |
| Zip Code | 81212 |
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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.