SUSANNE M SCHENK (NPI# 1134637408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134637408 |
| Entity Type | Individual |
| Full Name | SUSANNE M SCHENK |
| Credential | RN, CDE |
| Practice Address |
555 E Broadway Ave Ste 201 Jackson WY 83001-8640 |
| Mailing Address |
Po Box 14642 Jackson WY 83002-4642 |
| Practice Telephone | 3077397678 |
| Practice Fax Number | 3077339720 |
| Mailing Telephone | 3077397678 |
| Mailing Fax Number | 3077339720 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
23749 | WY | Nursing Service Providers |
| Street Address |
555 E BROADWAY AVE STE 201 |
| City | JACKSON |
| State | WY |
| Zip Code | 83001-8640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780668350 | Jeffrey Thomas Reisert | Internal Medicine | 555 E Broadway Ave Ste 201, Jackson, WY 83001-8640 | 2005-12-06 |
| 1285748343 | Martha Gene Stearn | Internal Medicine | 555 E Broadway Ave Ste 201, Jackson, WY 83001-8640 | 2006-08-18 |
| 1467400747 | Glenn Edward Burnett II | Internal Medicine | 555 E Broadway Ave Ste 201, Jackson, WY 83001-8640 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699054403 | Margrett R. Davis | Registered Nurse | 350 W Woodrow Wilson Ave Ste 107, Jackson, MS 39213-7682 | 2011-08-10 |
| 1548626575 | Keisha Pruitt Luckey | Registered Nurse | 2500 N State St, 2500 North State Street, Jackson, MS 39216-4500 | 2016-01-06 |
| 1164815940 | Michael James Furlow | Registered Nurse | 1860 Chadwick Dr Ste 305, Jackson, MS 39204-3467 | 2015-03-18 |
| 1477872281 | Judith M Champion | Registered Nurse | 1040 River Oaks Dr, Ste. 302, Jackson, MS 39232-9530 | 2010-05-19 |
| 1477872273 | Toni L. Cooper | Registered Nurse | 1040 River Oaks Dr, Ste. 302, Jackson, MS 39232-9530 | 2010-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821378779 | Glenda Gail Tooke | Registered Nurse | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2011-08-24 |
| 1346470770 | Alicia Mae Le Pard | Registered Nurse | 405 W Boxelder Rd, Suite B-8, Gillette, WY 82718-5320 | 2009-07-20 |
| 1619136991 | Marion Gean Ute | Registered Nurse | 29 Blackcoal Dr, Fort Washakie, WY 82514 | 2008-06-03 |
| 1700088499 | Ellen Lariccia | Registered Nurse | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2007-06-04 |
Please comment or provide details below to improve the information on SUSANNE M SCHENK.
| 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.