SUSAN MARIE PETERS (NPI# 1194842575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194842575 |
Entity Type | Individual |
Full Name | SUSAN MARIE PETERS |
Practice Address |
139 Orchard Street New Haven CT 06519 |
Mailing Address |
18 Lake St Hamden CT 06517-2315 |
Practice Telephone | 2039467104 |
Mailing Telephone | 2032302831 |
Enumeration Date | 2007-03-23 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
001723 | CT | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396262069 | Susan Elaine Peters | Psychologist | 3211 Payson Rd, Quincy, IL 62305-6441 | 2017-08-24 |
1124210414 | Susan Peters | Dietitian, Registered | 62 Valley Rd, Carmel, NY 10512-4355 | 2007-08-10 |
1245392489 | Susan M Peters | Physical Therapist | 345 Ashland Ave, River Forest, IL 60305-2109 | 2006-12-14 |
1780666958 | Susan Peters | Psychologist | 14587 Grand Ave, #201, Burnsville, MN 55306-5700 | 2005-11-15 |
1699220129 | Susan Peters | Social Worker | 1206 Clinton Rd, Jackson, MI 49202-2005 | 2016-08-25 |
1699022988 | Susan Delaine Peters | Dental Hygienist | 4215 85th St, Lubbock, TX 79423-1931 | 2012-08-06 |
1790066397 | Susan Lurleen Peters | Physical Therapist | 339 E Jamestown Rd, Greenville, PA 16125-9206 | 2011-09-09 |
1437484854 | Susan Peters | Occupational Therapist | 127 Rockingham Rd, Suite 203, Windham, NH 03087-1360 | 2009-10-04 |
1194959619 | Susan K. Peters | Counselor | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2009-05-12 |
1790803245 | Susan A Peters | Registered Nurse | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2007-03-26 |
Street Address |
139 ORCHARD STREET |
City | NEW HAVEN |
State | CT |
Zip Code | 06519 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
Find all providers in zip 06519 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174951669 | Bela Kirit Dharia | Nurse Practitioner | 55 Lock Street, Yale Health, New Haven, CT 06511-3603 | 2013-10-22 |
1841566775 | Leora Hauptman | Nurse Practitioner | 330 Cedar St # 4093, New Haven, CT 06510-3218 | 2012-03-26 |
1790909620 | Jayne Foster Linley | Nurse Practitioner | 102 Nash Street, New Haven, CT 06511 | 2007-04-12 |
1922165141 | Martha K Swartz | Nurse Practitioner | 789 Howard Ave., Yale New Haven Hospital Pediatric Primary Care Center, New Haven, CT 06510 | 2007-01-03 |
1356416747 | Denise Catherine Wagner | Nurse Practitioner | Yale-new Haven Hospital, 20 York Street, Primary Care Center, New Haven, CT 06510 | 2006-11-21 |
1174694798 | Nicole Langan Maciejak | Nurse Practitioner | 35 Davis Street, Sbhc, New Haven, CT 06515-1601 | 2006-11-13 |
1033224670 | Ivette Becerra Ortiz | Nurse Practitioner | 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 | 2006-08-21 |
1619901535 | Earlene Jane Peckham | Nurse Practitioner | 191 Fountain St, New Haven, CT 06515-1901 | 2006-07-10 |
1174510440 | Jane Lawrence-riddell | Nurse Practitioner | 1 Long Wharf Dr, Suite 105, New Haven, CT 06511-5991 | 2005-10-03 |
1760477012 | Kim Alison Levinson | Nurse Practitioner | 33 Cedar Street, New Haven, CT 06510 | 2005-09-13 |
Find all providers in NEW HAVEN |
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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.