MRS. SUSAN ANN KEENER (NPI# 1215056122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215056122 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN ANN KEENER |
| Credential | R.N. |
| Practice Address |
120 S Jefferson Ave Mesa AZ 85208-1018 |
| Mailing Address |
2236 S Patterson Mesa AZ 85202-6645 |
| Practice Telephone | 4804728704 |
| Practice Fax Number | 4804728724 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN047247 | AZ | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 579766 | 05 |
| Street Address |
120 S JEFFERSON AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85208-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386294056 | Brittney Maree Hess | Specialist/Technologist | 120 S Jefferson Ave, Mesa, AZ 85208-1018 | 2019-09-16 |
| 1558889543 | Jessi Rae Johnson | Specialist/Technologist | 120 S Jefferson Ave, Mesa, AZ 85208-1018 | 2017-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203723 | Southwest Cardiovascular Interventional Center, LLC | Clinic/Center | 7529 E Broadway, Mesa, AZ 85208 | 2020-01-06 |
| 1760021802 | Southwest Endovascular Center, LLC | Clinic/Center | 7529 E Broadway Rd, Mesa, AZ 85208 | 2020-01-06 |
| 1083116529 | Hailey Jo Kools | Specialist/Technologist | 11201 N Tatum Boulevard, Phoenix, AZ 85208 | 2018-03-01 |
| 1356881486 | Amber E Anderson | Nurse Practitioner | 1157 S Crismon Rd Ste 101, Mesa, AZ 85208 | 2017-03-08 |
| 1609264464 | Desert House Assisted Living LLC | Assisted Living Facility | 11055 E Grove St, Mesa, AZ 85208 | 2015-01-02 |
| 1366881872 | Freedom Az, LLC | Non-emergency Medical Transport (VAN) | 10682 E Oasis Dr, Mesa, AZ 85208 | 2013-06-18 |
| 1588922884 | Aaron David Hallstrom | Counselor | 158 S Hassett Cir, Mesa, AZ 85208 | 2012-04-25 |
| 1568604593 | David Berrey | Internal Medicine | 1917 South Crismon Rd., Mesa, AZ 85208 | 2009-04-06 |
| 1740475946 | Jackton Simiyu Khausi | Occupational Therapist | 7255 E Broadway, Mesa, AZ 85208 | 2007-09-11 |
| 1881896900 | Kate N Mullowney | Pharmacist | 10238 E Hampton Avenue, Suite 107, Mesa, AZ 85208 | 2007-06-01 |
| Find all providers in zip 85208 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598311771 | Mary Ann Sacco | Registered Nurse | 1445 E Hilton Ave, Mesa, AZ 85204-5938 | 2019-08-14 |
| 1114427747 | Shelby Burlew | Registered Nurse | 825 W Medina Ave, Mesa, AZ 85210-7144 | 2018-02-20 |
| 1255874707 | Audrey Schoonmaker | Registered Nurse | 843 S Longmore Apt 1132, Mesa, AZ 85202-3169 | 2016-11-30 |
| 1730638446 | Yuliya Blake | Registered Nurse | 5804 E Ellis St, Mesa, AZ 85205-5843 | 2016-09-23 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1477921377 | Katie White | Registered Nurse | 6431 E Hermosa Vista Dr, Mesa, AZ 85215-2203 | 2015-09-09 |
| 1013384213 | Claire Luketich | Registered Nurse | 125 E Mclellan Rd, Mesa, AZ 85201-2339 | 2015-08-24 |
| 1447676184 | Brittney Hunsaker | Registered Nurse | 6361 E Princess Dr, Mesa, AZ 85205-4546 | 2014-03-05 |
| 1114355021 | Janet Oates | Registered Nurse | 7301 E Brown Rd, Mesa, AZ 85207-3803 | 2013-10-31 |
| 1063757318 | Alicia Kerry Benjamin | Registered Nurse | 10459 E Florian Ave, Mesa, AZ 85208-7128 | 2012-11-27 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on MRS. SUSAN ANN KEENER.
| 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.