MS. SUSAN ELIZABETH DOUBT (NPI# 1134213655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134213655 |
| Entity Type | Individual |
| Full Name | MS. SUSAN ELIZABETH DOUBT |
| Credential | RN, CNP |
| Practice Address |
4100 West Third Street Dayton Va Medical Center Dayton OH 45428 |
| Mailing Address |
626 Omar Circle Yellow Springs OH 45387-1420 |
| Practice Telephone | 9372686511 |
| Mailing Telephone | 9377671540 |
| Mailing Fax Number | 9377671540 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN 111598 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN 294745 NP 065 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4100 WEST THIRD STREET DAYTON VA MEDICAL CENTER |
| City | DAYTON |
| State | OH |
| Zip Code | 45428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255357497 | Dayton Vamc | Military Hospital | 4100 West Third Street, Dayton, OH 45428 | 2006-07-14 |
| 1114318144 | Dayton Vamc | Clinic/Center | 4100 West Third Street, Dayton, OH 45428-9000 | 2015-02-12 |
| 1437540515 | Dayton Vamc | Clinic/Center | 4100 West Third Street, Dayton, OH 45428-9000 | 2015-02-11 |
| 1598910705 | Patricia Catlin Tatarzycki | Social Worker | 4100 West Third Street, Dayton, OH 45428-9000 | 2008-12-02 |
| 1184878845 | Donald Klamut | Pharmacist | 4100 West Third Street, Dayton, OH 45428 | 2008-11-07 |
| 1598978926 | Kristi Renee Smith | Physical Therapist | 4100 West Third Street, Dayton, OH 45428 | 2007-05-08 |
| 1619062981 | Maritha Joyce Trass | Physician Assistant | 4100 West Third Street, Dayton, OH 45428 | 2006-10-04 |
| 1255448791 | Rohanna A Edwards | Physician Assistant | 4100 West Third Street, Dayton, OH 45428 | 2006-08-23 |
| 1326062605 | Janet Underwood Sutherland | Social Worker | 4100 West Third Street, Dayton, OH 45428 | 2006-07-27 |
| 1285648204 | Frederick Santi Boldi | Nurse Anesthetist, Certified Registered | 4100 West Third Street, Dayton, OH 45428 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414527 | Punyawat Laohakanjanasiri | Dentist | Dayton Va Medical Center/dental Services, 4100 W Third, Dayton, OH 45428 | 2019-06-04 |
| 1942716303 | John Korea Lee | Pharmacist | 4100 W. 3rd Street, Attn: Pharmacy Call Center 408pcc, Dayton, OH 45428 | 2017-12-21 |
| 1366876138 | Amber J Enterline | Pharmacist | 4100 W 3rd Street, Attn Pharmacy, Dayotn, OH 45428 | 2013-08-28 |
| 1114155793 | Jeffrey Michael Munn | Dentist | 4100 West 3rd St., Dayton V.a. Medical Center, Dayton, OH 45428 | 2009-06-23 |
| 1558516724 | Tawnyell Nikko Culpepper | Social Worker | 4100 Va Medical Center, Social Work Department Suite 122, Trotwood, OH 45428 | 2008-12-01 |
| 1255586376 | Prasad V Venkat | Physical Therapist | 4100 W.third Street, Dayton, OH 45428 | 2008-11-18 |
| 1457435687 | Reba E Crowell | Nurse Practitioner | 4100 West 3rd Street, Dayton, OH 45428 | 2006-10-24 |
| 1386728632 | Alicia Joann Weekes-johnson | Counselor | 4100 W Third St. Mhlc Bldg 302, Veterans Administration Medical Center, Dayton, OH 45428 | 2006-10-24 |
| 1497843049 | Margaret Irene Kruckemeyer | Nurse Practitioner | 4100 West Third Street (117), Va Medical Center, Dayton, OH 45428 | 2006-10-10 |
| 1003902545 | Mohamed Elmouelhi | Internal Medicine | 4100 W.third St., Dayton Vamc (11c), Dayton, OH 45428 | 2006-10-04 |
| Find all providers in zip 45428 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546740 | Kristen Avery Weaver | Nurse Practitioner | 322 High St, Dayton, VA 22821-9548 | 2020-10-17 |
| 1760094155 | Amanda Kenney | Nurse Practitioner | 5619 Hugh Dr, Dayton, OH 45459-1618 | 2020-08-18 |
| 1295371177 | Sophia Arnold | Nurse Practitioner | 5242 Rucks Rd, Dayton, OH 45417-8221 | 2019-11-26 |
| 1811548092 | April Nicole Peveto | Nurse Practitioner | 101 S Prairie St, Dayton, TX 77535-2819 | 2019-09-27 |
| 1659925253 | Marian Kimara Doukoure | Nurse Practitioner | 2615 Wayne Ave, Dayton, OH 45420-1833 | 2019-07-31 |
| 1396200523 | Robert Andre De Roziere Jr. | Nurse Practitioner | Maria Joseph Care Center, 4780 Salem Avenue, Dayton, OH 45416 | 2019-02-01 |
| 1255804795 | Kathlene Jacoby | Nurse Practitioner | 7700 Washington Village Dr Ste 230, Dayton, OH 45459-4094 | 2019-01-08 |
| 1952878811 | Kenneth Howard | Nurse Practitioner | 101 S Prairie St Ste D, Dayton, TX 77535-2819 | 2018-10-30 |
| 1053895789 | Lori Bickett | Nurse Practitioner | 33 W Rahn Rd # 102, Dayton, OH 45429-2219 | 2018-09-19 |
| 1720571193 | Shelby Herbst | Nurse Practitioner | 7076 Corporate Way Ste 201, Dayton, OH 45459-4246 | 2018-06-11 |
| Find all providers in DAYTON | ||||
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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.