SUSAN MARIA LAVELLE (NPI# 1124226931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124226931 |
| Entity Type | Individual |
| Full Name | SUSAN MARIA LAVELLE |
| Credential | NP |
| Practice Address |
16319 Third Street Guerneville CA 95446 |
| Mailing Address |
8690 Petaluma Hill Rd Penngrove CA 94951-8734 |
| Practice Telephone | 7078692849 |
| Practice Fax Number | 7078691477 |
| Mailing Telephone | 7079920030 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
NP 17209 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
16319 THIRD STREET |
| City | GUERNEVILLE |
| State | CA |
| Zip Code | 95446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344758 | West County Health Centers, Inc. | Clinic/Center | 16319 Third Street, Guerneville, CA 95446 | 2005-05-31 |
| 1962728550 | Jared Nikolaus Garrison-jakel | Family Medicine | 16319 Third Street, Guerneville, CA 95446 | 2010-04-08 |
| 1548415508 | Jude Fox | Physician Assistant | 16319 Third Street, Guerneville, CA 95446 | 2008-11-18 |
| 1982854618 | Jerrold Paul Elliott IIi | Physician Assistant | 16319 Third Street, Guerneville, CA 95446 | 2008-09-30 |
| 1558528349 | Deette Deville | Family Medicine | 16319 Third Street, Guerneville, CA 95446 | 2008-05-20 |
| 1265449797 | Mary Wyman | Nurse Practitioner | 16319 Third Street, Guerneville, CA 95446 | 2006-08-01 |
| 1134135924 | Surani Hayre-kwan | Nurse Practitioner | 16319 Third Street, Guerneville, CA 95446 | 2006-07-31 |
| 1528072386 | West County Health Centers, Inc | Clinic/Center | 16319 Third Street, Guerneville, CA 95446-1449 | 2006-07-28 |
| 1689671968 | Steven Bromer | Family Medicine | 16319 Third Street, Guerneville, CA 95446 | 2005-07-01 |
| 1114923745 | Susan Skolek | Psychologist | 16319 Third Street, Guerneville, CA 95446 | 2005-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659840387 | Thomas N Tiffer | Taxi | 14701 Canyon 7 Rd, Guerneville, CA 95446 | 2018-11-26 |
| 1265969059 | Teresa Bowden | Counselor | 16255 1st Street, Guerneville, CA 95446 | 2017-05-11 |
| 1255882502 | Skye Ashley | Marriage & Family Therapist | 16390 Main Street, Guerneville, CA 95446 | 2016-10-21 |
| 1326461187 | Christopher Arthur Newell | Pharmacist | 16251 Main St., Lark Drugs, Guerneville, CA 95446 | 2014-01-30 |
| 1750658159 | Daryl Wolfe | Pharmacist | 16405 River Rd, Guerneville, CA 95446 | 2011-11-30 |
| 1881995041 | Declan Gerard Prendergast | Pharmacist | 16405 River Rd., Guerneville, CA 95446 | 2010-11-04 |
| 1154523272 | West County Community Services | Community/Behavioral Health | 14520 Armstrong Woods Rd, Guerneville, CA 95446 | 2007-06-01 |
| 1912128661 | Raymond Francis Skryja | Dentist | 14001 Old Cazadero Rd, Guerneville, CA 95446 | 2007-05-01 |
| 1598786352 | West County Health Centers, Inc. | Clinic/Center | 16312 Third Street, Guerneville, CA 95446 | 2006-07-21 |
| 1255365532 | Suzanne Kay Saville | Dentist | 16312 3rd Street, Guerneville, CA 95446 | 2006-07-10 |
| Find all providers in zip 95446 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316504590 | Adrian Sabalboro | Nurse Practitioner | 1450 E Cooley Dr, Colton, CA 92324-3933 | 2019-05-23 |
| 1255650537 | Shelly Anne Ferrari | Nurse Practitioner | 623 N Cullen Ave, Glendora, CA 91741-2124 | 2010-05-25 |
| 1598986192 | Lily Pe Khoshaba | Nurse Practitioner | 6596 N Winton Way, Winton, CA 95388-9532 | 2007-05-01 |
| 1235273749 | Dave Mallari Usman | Nurse Practitioner | 17982 Sky Park Cir Ste J, Irvine, CA 92614-6482 | 2007-02-16 |
| 1366584534 | Maria A Lascuna | Nurse Practitioner | 826 E Manning Ave, Reedley, CA 93654-2232 | 2007-02-13 |
| 1245371707 | Darla Schmunk | Nurse Practitioner | 43563 Hwy 299, Fall River Mills, CA 96028-0337 | 2007-02-09 |
| 1669510525 | Dale J Johnson | Nurse Practitioner | 7 Wharf Road, Bolinas Family Practice, Bolinas, CA 94924 | 2007-02-02 |
| 1972649275 | Charlene Ruth Williams | Nurse Practitioner | 670 Placerville Dr Ste 1b, Placerville, CA 95667-4200 | 2007-01-30 |
| 1053369439 | Elizabeth A Samuels | Nurse Practitioner | 7592 Broadway, Lemon Grove Family Health Center, Lemon Grove, CA 91945 | 2006-05-05 |
| 1578103800 | Gryan Eroll Robles Garcia | Nurse Practitioner | 18077 Outer Hwy 18 Ste 100, Apple Valley, CA 92307-2168 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
| City | GUERNEVILLE |
| Zip Code | 95446 |
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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.