SUSAN ESTELLE CAMP (NPI# 1104134923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104134923 |
| Entity Type | Individual |
| Full Name | SUSAN ESTELLE CAMP |
| Credential | ARNP |
| Practice Address |
2700 Evergreen Pkwy Nw Seminar 1-2110 Olympia WA 98505-0001 |
| Practice Telephone | 3608675834 |
| Practice Fax Number | 3608676787 |
| Mailing Telephone | 3608675834 |
| Mailing Fax Number | 3608676787 |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN00090270 | WA | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP30002318 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760986350 | Susan Camp | Behavioral Analyst | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-03-20 |
| 1659486223 | Susan Marie Camp | Nurse Practitioner | 700 19th St S, Routing #112, Birmingham, AL 35233-1927 | 2006-08-21 |
| Street Address |
2700 EVERGREEN PKWY NW SEMINAR 1-2110 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98505-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770600629 | Rebecca Rae Johnson | Specialist/Technologist | 2700 Evergreen Pkwy Nw, Olympia, WA 98505-0001 | 2007-03-24 |
| 1144499682 | Kathleen Ann O'connor | Preventive Medicine | 2700 Evergreen Pkwy Nw, Sem I, 2110, Olympia, WA 98505-0005 | 2008-02-28 |
| 1114195898 | The Evergreen State College | Clinic/Center | 2700 Evergreen Pkwy Nw, Seminar 1 2110, Olympia, WA 98505-0005 | 2008-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841590502 | Barbara Ann Krulich | Physician Assistant | 2700 Evergreen Parkway Nw, Seminar I 2100, Olympia, WA 98505 | 2010-10-28 |
| 1447568563 | Polly Kay Taylor | Nurse Practitioner | 2700 Evergreen Parkway Nw, Sem 1, Room 2110, The Evergreen Sate College Student Health Center, Olympia, WA 98505 | 2010-09-23 |
| 1811370307 | Jared Vedros | Emergency Medicine | 786 D St, Anchorage, AK 98505 | 2015-07-02 |
| 1740246602 | Janine R Morrell | Nurse Practitioner | 315 Mlk Jr Way, Ms Z0 Ntl, Tacoma, WA 98505 | 2006-04-20 |
| 1609494830 | Madison Samantha Johnson | Counselor | The Evergreen State College 2700 Evergreen Parkway Nw, Olympia, WA 98505-0001 | 2020-07-14 |
| 1710504972 | Ryan Erickson | Counselor | 2700 Evergreen Pkwy Nw Bldg I2731, Olympia, WA 98505-0001 | 2020-07-02 |
| 1619285368 | Elizabeth R Mchugh | Physician Assistant | The Evergreen State College, Seminar 1 Rm 2110, Olympia, WA 98505-0001 | 2010-09-15 |
| 1770511438 | Mark S Peckler | Urology | 3525 Ensign Rd., Suite A, Olympia, WA 98505-0001 | 2006-06-29 |
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598272221 | Alisa Faye Hemmersbach | Nurse Practitioner | 5512 Anton Ct Se, Olympia, WA 98501-5104 | 2018-01-03 |
| 1902834781 | Margaret D Zimmerman | Nurse Practitioner | 2411 Pacific Ave Se, Olympia, WA 98501-2048 | 2006-06-29 |
| 1902264856 | Stephanie Mitchell | Nurse Practitioner | 209 Lilly Rd Ne, Olympia, WA 98506 | 2016-02-07 |
| 1174854764 | Kathryn Mary Burrell | Nurse Practitioner | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2010-01-20 |
| 1124284484 | Nicole Hugie Terry | Nurse Practitioner | 413 Lilly Rd Ne, Pmg Sw Wa Psph Hospitalists, Olympia, WA 98506-5133 | 2008-08-05 |
| 1093979940 | Scott L. Archer | Nurse Practitioner | 413 Lilly Rd Ne, Providence St Peter Hosp - PC, Olympia, WA 98506-5133 | 2008-07-10 |
| 1508055435 | Lynn Marie Okita | Nurse Practitioner | 525 Lilly Rd Ne Ste 250, Olympia, WA 98506 | 2007-10-16 |
| 1841405982 | Ewh Inc | Nurse Practitioner | 1100 Eastside St Se, Olympia, WA 98501-7304 | 2007-05-11 |
| 1578784385 | Callie Wilson | Nurse Practitioner | 412 Lilly Rd Ne, Olympia, WA 98506-5132 | 2007-05-01 |
| 1447479134 | Caitlin F Rodman | Nurse Practitioner | 3425 Ensign Rd Ne Ste 220, Pmg Sw Wa South Sound Internal Medicine, Olympia, WA 98506-5063 | 2007-04-24 |
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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.