DR. SUSAN D PECK (NPI# 1104813179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104813179 |
| Entity Type | Individual |
| Full Name | DR. SUSAN D PECK |
| Credential | RN, PHD, GNP-BC |
| Practice Address |
2130 Brackett Ave Ste B Eau Claire WI 54701-4928 |
| Mailing Address |
1417 Wilson St Eau Claire WI 54701-4808 |
| Practice Telephone | 7158958571 |
| Practice Fax Number | 7158958573 |
| Mailing Telephone | 7158297325 |
| Mailing Fax Number | 7158958573 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2019-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
325-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457486342 | Susan N Peck | Nurse Practitioner | 34th and Civic Center Blvd., Philadelphia, PA 19104 | 2007-02-22 |
| 1447449988 | Susan Jean Peck | Registered Nurse | 620 S 400 E, Suite 400, St George, UT 84770 | 2007-10-22 |
| 1497872907 | Susan Peck | Physical Therapist | 15707 Valley Blvd, City of Industry, CA 91744-3932 | 2007-03-22 |
| 1548377872 | Susan J Peck | Nurse Practitioner | 2801 W Kinnickinnic River Pkwy, #135, Milwaukee, WI 53215-3693 | 2006-08-24 |
| 1720192537 | Susan E Peck | Registered Nurse | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2006-08-18 |
| 1588675128 | Susan E Peck | Advanced Practice Midwife | 48 Sanderson St, Greenfield, MA 01301-2778 | 2006-08-10 |
| 1104852169 | Susan Elizabeth Peck | Obstetrics & Gynecology | 701 E Hampden Ave, Suite 120, Englewood, CO 80113-2736 | 2006-06-23 |
| 1588643233 | Susan D Peck | Obstetrics & Gynecology | 20 North St, Hanover, PA 17331-2275 | 2006-01-11 |
| Street Address |
2130 BRACKETT AVE STE B |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-4928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831742972 | Debra Callow | Nurse Practitioner | 1221 Whipple St, Eau Claire, WI 54703-5270 | 2019-07-18 |
| 1427531912 | Brook Leah Steele | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2018-09-11 |
| 1245776731 | Ann Gordon | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2017-01-09 |
| 1801836820 | Jennifer A Insteness | Nurse Practitioner | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615998 | Kathleen Ann Turck | Nurse Practitioner | 523 W Wilson St, Palmyra, WI 53156-9780 | 2020-07-06 |
| 1417405515 | Christine Leanne Peterson Watts | Nurse Practitioner | 4726 W Jenna Ct, Franklin, WI 53132-7602 | 2016-09-17 |
| 1902257991 | Andrea Schlidt | Nurse Practitioner | W62n1028 Fairhaven Ct, Cedarburg, WI 53012-1288 | 2016-06-30 |
| 1518360619 | Sarah Kathleen Holthe | Nurse Practitioner | 804 Evergreen Dr, Holmen, WI 54636-9145 | 2014-10-02 |
| 1235375544 | Dixie Lee Olson | Nurse Practitioner | 401 Finvold St, Woodville, WI 54028-9719 | 2008-12-17 |
| 1417123092 | Dementia Consultations LLC | Nurse Practitioner | 265 North Park Street, Richland Center, WI 53581-2208 | 2008-05-05 |
| 1457540171 | Kelly Ann Felmer | Nurse Practitioner | 2638 Tulip Ln, Suite B, Green Bay, WI 54313-2800 | 2007-10-18 |
| 1376747261 | Christine Marie Dietrich | Nurse Practitioner | 303 W Upham St Ste 200, Marshfield, WI 54449-1483 | 2007-06-13 |
| 1730381591 | Pamela J Thul-immler | Nurse Practitioner | 9060 Madeline Lake Rd, Woodruff, WI 54568-9651 | 2007-06-04 |
| 1356555742 | Laura L. Wagner | Nurse Practitioner | 2810 Crossroads Dr, Madison, WI 53718-7942 | 2007-05-09 |
| Find all providers with the same taxonomy | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
Please comment or provide details below to improve the information on DR. SUSAN D PECK.
| 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.