SUSAN OTOOLE (NPI# 1104425040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104425040 |
| Entity Type | Individual |
| Full Name | SUSAN OTOOLE |
| Practice Address |
1701 N Green Valley Pkwy Ste 9a Henderson NV 89074-5991 |
| Practice Telephone | 7024071100 |
| Mailing Telephone | 7024071100 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
1701 N GREEN VALLEY PKWY STE 9A |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-5991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861611733 | Laura Lobaton Anat | Licensed Vocational Nurse | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2007-04-25 |
| 1245831494 | Elizabeth Perry | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2020-11-04 |
| 1689275836 | Chivanni Richard | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2020-11-04 |
| 1942801196 | Essence Russell | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2020-11-04 |
| 1932700044 | Audrie Reeves | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2020-11-04 |
| 1124628276 | Angelina Walker | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2020-10-28 |
| 1871193920 | Terrica Brown | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2020-10-28 |
| 1902406069 | Cheryl Van Meter | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2020-10-28 |
| 1639777303 | Karren May Barona | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2020-10-14 |
| 1992303663 | Gwedolyn Botha | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2020-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343109 | Stephanie Nicole Baird | Technician | 11073 Crab Creek Rd, Henderson, WV 25106-9732 | 2020-10-14 |
| 1134726953 | Susan Warmuth | Technician | 584 Sellers Pl, Henderson, NV 89011-5373 | 2020-10-05 |
| 1093312894 | Triscion Watkins | Technician | 111 W Victory Rd, Henderson, NV 89015-7022 | 2020-10-05 |
| 1346847167 | Maximillian Crawford | Technician | 2577 Woodson Ave, Henderson, NV 89052-6489 | 2020-10-05 |
| 1932706736 | Madonna Abad | Technician | 3618 Via Messina, Henderson, NV 89052-1504 | 2020-10-05 |
| 1801401476 | Martin Flores | Technician | 916 Serpent Rose Ct, Henderson, NV 89052-8657 | 2020-09-10 |
| 1578177655 | Vanquisha L Mckie | Technician | 1030 Center St Apt 3i, Henderson, NV 89015-6301 | 2020-09-04 |
| 1225642739 | Roger Anthony | Technician | 227 W Pacific Ave, Henderson, NV 89015-7378 | 2020-09-02 |
| 1053925578 | Andrea Day | Technician | 301 Taylor St Apt 1624, Henderson, NV 89015-5429 | 2020-09-02 |
| 1366056897 | Alicia Vinculado | Technician | 2570 W Horizon Ridge Pkwy, Henderson, NV 89052-5618 | 2020-09-02 |
| Find all providers in HENDERSON | ||||
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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.