SUSAN ELIZABETH COTTRELL (NPI# 1205346079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205346079 |
| Entity Type | Individual |
| Full Name | SUSAN ELIZABETH COTTRELL |
| Credential | CRNP |
| Practice Address |
77 Thomas Johnson Dr Suite E Frederick MD 21702 |
| Practice Telephone | 3016958346 |
| Practice Fax Number | 3016245837 |
| Mailing Telephone | 3016958346 |
| Mailing Fax Number | 3016245837 |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R227055 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487789293 | Susan E Cottrell | Physical Therapist | 1224 Tilton Rd, Northfield, NJ 08225-1809 | 2007-02-22 |
| Street Address |
77 THOMAS JOHNSON DR SUITE E |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154302313 | Joseph Louis Camacho | Dentist | 77 Thomas Johnson Dr, Suite A, Frederick, MD 21702-4893 | 2005-11-07 |
| 1508314857 | Kristin Mauerhan Keeley | Nurse Practitioner | 77 Thomas Johnson Dr, Suite K, Frederick, MD 21702-4893 | 2016-09-15 |
| 1124440359 | Cynthia J Moorman Md,pa | Clinic/Center | 77 Thomas Johnson Dr, Suite K, Frederick, MD 21702-4893 | 2014-01-07 |
| 1417118407 | Msc Ambulatory Surgical Center, LLC | Clinic/Center | 77 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4893 | 2008-06-23 |
| 1841488954 | Elizabeth A. Liotta, M.d.,l.l.c | Specialist | 77 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4893 | 2007-10-15 |
| 1508911850 | Heather N Demory | Physician Assistant | 77 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4893 | 2007-01-25 |
| 1528113040 | Cynthia J. Moorman, M.d., P.a. | Urology | 77 Thomas Johnson Dr, Suite K, Frederick, MD 21702-4893 | 2007-01-24 |
| 1962583955 | Elizabeth Ann Liotta | Dermatology | 77 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4893 | 2006-10-18 |
| 1588760607 | Dr Behnaz Yalda Inc | Dentist | 77 Thomas Johnson Dr, Suite D, Frederick, MD 21702 | 2006-09-16 |
| 1477659571 | Behnaz Yalda | Dentist | 77 Thomas Johnson Dr, Suite D, Frederick, MD 21702 | 2006-09-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518325497 | Sarah Jennings | Nurse Practitioner | 63 Thomas Johnson Dr Ste B, Frederick, MD 21702-4396 | 2016-02-05 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1184061053 | Theresa Wilhelm | Nurse Practitioner | 347 Ballenger Center Dr, Frederick, MD 21703-7095 | 2013-05-31 |
| 1700220175 | Selina M Jones | Nurse Practitioner | 201 Shorebird St, Ste B, Frederick, MD 21701-1962 | 2013-04-29 |
| 1053654541 | Chloe Nichols | Nurse Practitioner | 46b Thomas Johnson Drive, Suite 200, Frederick, MD 21702 | 2013-04-03 |
| 1629235189 | Carol A Hinrichs | Nurse Practitioner | 3770 Puritan Way, Unit E, Frederick, CO 80516-9463 | 2008-05-21 |
| 1043223795 | Sally Yvonne Farr | Nurse Practitioner | 1560 Opessumtown Pike, Ste 18, Frederick, MD 21702 | 2006-08-14 |
| 1073153805 | Young Lee | Nurse Practitioner | 182 Thomas Johnson Dr Ste 100, Frederick, MD 21702-4486 | 2020-01-09 |
| 1194371344 | Stacy Winters | Nurse Practitioner | 814 Toll House Ave, Frederick, MD 21701-4519 | 2019-08-14 |
| 1912492653 | Behavioral Counseling Services of Washington County, Inc. | Nurse Practitioner | 427 E Patrick St, Frederick, MD 21701-5777 | 2018-06-26 |
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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.