SUSAN J HALLORAN (NPI# 1093752230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093752230 |
| Entity Type | Individual |
| Full Name | SUSAN J HALLORAN |
| Credential | NP |
| Practice Address |
1619 Dayton Ave #109 Saint Paul MN 55104-6206 |
| Practice Telephone | 6516980891 |
| Mailing Telephone | 6516980891 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2016-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
R1075937 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 337140900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770127219 | Susan Windsor Halloran | Physical Therapist | 651 Elm St, Denver, CO 80220-5144 | 2019-10-28 |
| 1316067531 | Susan Lynn Halloran | Pharmacist | 6123 Wooddale Ave, Edina, MN 55424-1810 | 2007-03-30 |
| Street Address |
1619 DAYTON AVE #109 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-6206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134112378 | Mary J Higgins | Advanced Practice Midwife | 1619 Dayton Ave, Suite 205, Saint Paul, MN 55104-6206 | 2005-08-23 |
| 1740721778 | Stephen Platt | Counselor | 1619 Dayton Ave, Saint Paul, MN 55104-6206 | 2017-03-09 |
| 1669924320 | Erin Morgan Lmft, L.L.C. | Marriage & Family Therapist | 1619 Dayton Ave, Suite 201, Saint Paul, MN 55104-6206 | 2016-10-28 |
| 1174992457 | Marit Kyllo | Marriage & Family Therapist | 1619 Dayton Ave, Suite 303, Saint Paul, MN 55104-6206 | 2015-09-17 |
| 1043608706 | Heather Marie Holt | Social Worker | 1619 Dayton Ave, Ste 112b, Saint Paul, MN 55104-6206 | 2015-01-05 |
| 1003258385 | Erin Morgan | Marriage & Family Therapist | 1619 Dayton Ave, #203, Saint Paul, MN 55104-6206 | 2013-07-26 |
| 1427398973 | Cris A Oldenburg | Chiropractor | 1619 Dayton Ave, #327, Saint Paul, MN 55104-6206 | 2013-02-20 |
| 1205111622 | Kathleen Marie Kroska | Psychologist | 1619 Dayton Ave, Saint Paul, MN 55104-6206 | 2011-10-17 |
| 1134448590 | Noah Julian Simcox | Social Worker | 1619 Dayton Ave, Ste 112, Saint Paul, MN 55104-6276 | 2010-05-25 |
| 1104153568 | Erin Stamets | Nurse Practitioner | 1619 Dayton Ave, Suite 205, Saint Paul, MN 55104-6206 | 2009-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831448935 | Erica Scheffler | Nurse Practitioner | 3625 W. 65th St., Suite 100, Edina, MN 55435 | 2012-09-05 |
| 1225054638 | Pamela E Layton | Nurse Practitioner | 525 Portland Ave. So., Hsb 4th Floor, Mc 952, Minneapolis, MN 55415 | 2006-07-15 |
| 1417922584 | Shirley J Jarcho | Nurse Practitioner | 6565 France Ave South, Suite 300, Edina, MN 55435 | 2006-02-21 |
| 1285618041 | Wendy Marie Lovaas | Nurse Practitioner | 9825 Hospital Drive #205, Maple Grove, MN 55369 | 2005-12-05 |
| 1255806428 | Bethany Anne Hjelle | Nurse Practitioner | 9825 Hospital Dr Ste 205, Maple Grove, MN 55369-4480 | 2018-10-03 |
| 1770064560 | Gwendolyn M Neumeister | Nurse Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2018-08-28 |
| 1598245128 | Jennifer R Finger | Nurse Practitioner | 500 S Maple St, Waconia, MN 55387-1791 | 2018-08-14 |
| 1578050928 | Melissa M Goble | Nurse Practitioner | 320 E Main St, Crosby, MN 56441-1645 | 2018-04-20 |
| 1568915742 | Dory Bernadette Warren | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2016-07-25 |
| 1962805549 | Terri Halverson | Nurse Practitioner | Essentia Health Duluth Clinic, 400 East Third Street, Duluth, MN 55805-1951 | 2014-09-26 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on SUSAN J HALLORAN.
| 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.