SUSAN ANN NILLER (NPI# 1184950099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184950099 |
| Entity Type | Individual |
| Full Name | SUSAN ANN NILLER |
| Credential | RN |
| Practice Address |
6401 York Rd Ste 3 Baltimore MD 21212-2130 |
| Mailing Address |
8606 Country Brooke Way Lutherville MD 21093-4773 |
| Practice Telephone | 4108872725 |
| Practice Fax Number | 4108872785 |
| Mailing Telephone | 4108235046 |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
R069263 | MD | Nursing Service Providers |
| Street Address |
6401 YORK RD STE 3 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21212-2130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699806034 | Richard E. Thomas | Counselor | 6401 York Rd Ste 3, Baltimore Co. Bureau of Substance Abuse, Baltimore, MD 21212-2130 | 2007-03-08 |
| 1548737299 | Adekemi Orimisan Akinyemi | Nurse Practitioner | 6401 York Rd Ste 3, Baltimore, MD 21212-2130 | 2018-10-31 |
| 1932691078 | Jingfang Chen | Registered Nurse | 6401 York Rd Ste 3, Baltimore, MD 21212-2130 | 2018-06-05 |
| 1700321189 | Teresa Messler | Registered Nurse | 6401 York Rd Ste 3, Baltimore, MD 21212-2130 | 2016-12-21 |
| 1639575541 | Gary Klunk | Registered Nurse | 6401 York Rd Ste 3, Baltimore, MD 21212-2130 | 2014-11-05 |
| 1912308420 | Ann Williams | Registered Nurse | 6401 York Rd Ste 3, Baltimore, MD 21212-2130 | 2014-09-16 |
| 1104105246 | Donna Sue Gruber | Registered Nurse | 6401 York Rd Ste 3, Baltimore, MD 21212-2130 | 2011-08-08 |
| 1508011859 | Katrina Bagwandeen | Registered Nurse | 6401 York Rd Ste 3, Baltimore, MD 21212-2130 | 2008-11-28 |
| 1376724054 | Malisa Smith | Registered Nurse | 6401 York Rd Ste 3, Baltimore, MD 21212-2130 | 2007-11-21 |
| 1477733301 | Marjorie Carl | Social Worker | 6401 York Rd Ste 3, Baltimore, MD 21212-2130 | 2007-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935227 | Leigh Anne Tabernero | Counselor | 6600 York Rd Suite 110, Towson, MD 21212 | 2019-08-01 |
| 1245734250 | Jeri Michele Mankye | Counselor | 814 Radnor Ave, Baltimore, MD 21212 | 2018-03-23 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1063927622 | Janice Furst | Psychologist | 421 Old Trail, Baltimore, MD 21212 | 2017-12-05 |
| 1689196537 | Huber Rehabilitation Services | Counselor | 500 Woodbourne, Baltimore, MD 21212 | 2017-07-12 |
| 1639608037 | Christina Joy Antolick | Behavior Technician | 1007 Lenton Ave, Baltimore, MD 21212 | 2017-06-08 |
| 1902359979 | Miriam Trader | Speech-Language Pathologist | 500 Overbrook Road, Baltimore, MD 21212 | 2016-07-26 |
| 1497137269 | Candy Carter | Social Worker | 5900 York Rd Ste 108, Baltimore, MD 21212 | 2015-06-29 |
| 1053703298 | Cathryne L. Maciolek, Psy.d., LLC | Psychologist | 540 E. Belvedere Avenue, Suite 203, Baltimore, MD 21212 | 2015-02-25 |
| 1891034831 | Ashley Martin | Social Worker | 6401 York Road Third Floor, Towson, MD 21212 | 2013-02-12 |
| Find all providers in zip 21212 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194281451 | Rica Banfield | Registered Nurse | 2832 Huntingdon Ave, Baltimore, MD 21211-2921 | 2019-02-12 |
| 1043422041 | Susan Marie Rath | Registered Nurse | 300 Hammonds Ln, Baltimore, MD 21225-3653 | 2007-05-04 |
| 1609993500 | Sally Ann Vachon | Registered Nurse | 6401 York Rd Drumcastle, Third Floor, Baltimore, MD 21212 | 2007-03-23 |
| 1265056774 | Nicole Latasha Shell | Registered Nurse | 107 E 25th St, Baltimore, MD 21218-5213 | 2020-05-31 |
| 1992271241 | Nina Skinner | Registered Nurse | 1501 S Clinton St, Baltimore, MD 21224-5730 | 2018-10-15 |
| 1710426069 | Katherine Pretl | Registered Nurse | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-02-20 |
| 1619415502 | Ella Histand | Registered Nurse | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-02-10 |
| 1407247869 | Pamela Mcdonald-edwards | Registered Nurse | 6401 York Rd, 3rd Floor, Baltimore, MD 21212-2152 | 2015-02-06 |
| 1386998003 | Sheila Tires | Registered Nurse | 6401 York Rd, Baltimore, MD 21212-2152 | 2012-11-02 |
| 1124388970 | Cheryle Benita Ringo | Registered Nurse | 6604 English Oak Rd, Baltimore, MD 21234-6770 | 2012-05-25 |
| Find all providers in BALTIMORE | ||||
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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.