SUSAN NICHOLSON (NPI# 1104286319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104286319 |
| Entity Type | Individual |
| Full Name | SUSAN NICHOLSON |
| Practice Address |
700 Empire Blvd Rochester NY 14609-5948 |
| Practice Telephone | 5857308730 |
| Mailing Telephone | 5857308730 |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-03-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 015399 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588984710 | Susan Nicholson | Pharmacist | 232 Roosevelt Ave, Enumclaw, WA 98022-8242 | 2010-06-10 |
| 1568522811 | Susan Paige Nicholson | Nurse Anesthetist, Certified Registered | 412 Tinkerbell Rd, Chapel Hill, NC 27517-2337 | 2006-12-09 |
| 1043698897 | Susan Jennifer Nicholson | Behavioral Analyst | N27w23953 Paul Rd, Suite 206, Pewaukee, WI 53072-6242 | 2015-05-13 |
| 1629418587 | Susan Nicholson | Internal Medicine | 1300 York Ave, Lc-423, New York, NY 10065-4805 | 2013-06-25 |
| 1437328721 | Susan Nicholson | Developmental Therapist | 103 Johnson St, Lynn, MA 01902-4001 | 2008-02-21 |
| 1023232626 | Susan Cummings Nicholson | Social Worker | 703 Thimble Shoals Blvd, A-3, Newport News, VA 23606-2576 | 2007-04-13 |
| 1558480756 | Susan Sanger Nicholson | Nurse Practitioner | 2030 Mountain View Ave, Suite 400, Longmont, CO 80501-3182 | 2007-03-28 |
| 1275546020 | Susan Kay Nicholson | Physician Assistant | 915 N Grand Blvd, 111-jc/gi, Saint Louis, MO 63106-1621 | 2006-08-14 |
| Street Address |
700 EMPIRE BLVD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14609-5948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629226501 | Barbara Louise Conti | Massage Therapist | 700 Empire Blvd, Rochester, NY 14609-5948 | 2008-09-03 |
| 1598164295 | Bradley Delano | Chiropractor | 700 Empire Blvd, Rochester, NY 14609-5948 | 2014-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928828 | Aundrea Camille Williams | Licensed Practical Nurse | 99 Meaodw Circle, Rochester, NY 14609 | 2020-10-06 |
| 1043836869 | Sharon Ann Reilly | Registered Nurse | 910 North Goodman Street, Suite 1, Rochester, NY 14609 | 2020-06-17 |
| 1235655671 | Tameka Shaunte Parker | Licensed Practical Nurse | 35 Village Way, Rochester, NY 14609 | 2017-08-17 |
| 1851817472 | Mary Ann Dukes | Registered Nurse | 75 Yates Street, Rochester, NY 14609 | 2017-08-15 |
| 1023533064 | Fernando Caumont | Urology | 2615 Culver Rd Ste 100, Rochester, NY 14609 | 2017-08-10 |
| 1083061162 | Teyanee Latavia Harewood | Registered Nurse | 418 Hayward Ave, Rochester, NY 14609 | 2016-05-19 |
| 1164853891 | Sukhminder Kaur Sahansra | Internal Medicine | 335 North Park Drive, Elderone, Rochester, NY 14609 | 2013-12-05 |
| 1952749863 | Nada Jadrovska | Registered Nurse | 79 Eagle Rock Dr, Rochester, NY 14609 | 2013-06-13 |
| 1457602930 | Lynnetta Maria Hollomon | Licensed Practical Nurse | 827 Edgecreek Trail, Rochester, NY 14609 | 2012-09-25 |
| 1568711596 | Anthony L. Jordan Health Corporation | Clinic/Center | 151 Parsells Ave, Jordan Health At Community Place, Rochester, NY 14609 | 2012-09-06 |
| Find all providers in zip 14609 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979680 | Sarah J Coppola | Massage Therapist | 465 Oxford St Apt 5, Rochester, NY 14607-3238 | 2020-10-12 |
| 1386274264 | Colby Rae Mynter | Massage Therapist | 274 N Goodman St Ste D106, Rochester, NY 14607-1171 | 2020-01-20 |
| 1982266920 | Kimberly Corpus | Massage Therapist | 95 Allens Creek Rd Ste 330, Rochester, NY 14618-3246 | 2019-06-30 |
| 1881258648 | Therica Harris | Massage Therapist | 945 E Henrietta Rd Ste A-4, Rochester, NY 14623-1419 | 2019-04-26 |
| 1982176921 | Michael Chiedu Monu | Massage Therapist | 3950 Dewey Ave Ste 2, Rochester, NY 14616-2520 | 2018-12-31 |
| 1295223352 | Paige Janis | Massage Therapist | 1577 W Ridge Rd Ste 208, Rochester, NY 14615-2511 | 2018-04-24 |
| 1649767039 | Dorinda G Foos | Massage Therapist | 1577 W Ridge Rd, Rochester, NY 14615-2520 | 2018-04-20 |
| 1588167100 | Stacy Jo Dejong Barnes | Massage Therapist | 1812 2nd St Sw Ste E, Rochester, MN 55902-4127 | 2018-03-09 |
| 1780184689 | Sara Walrath | Massage Therapist | 1100 Long Pond Rd Ste 256, Rochester, NY 14626-1186 | 2018-02-16 |
| 1326559972 | Cassondra Kubit | Massage Therapist | 550 Latona Rd Ste 305, Rochester, NY 14626-2700 | 2017-10-22 |
| Find all providers in ROCHESTER | ||||
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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.