SUZANNE LEATHERS (NPI# 1225687395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225687395 |
| Entity Type | Individual |
| Full Name | SUZANNE LEATHERS |
| Credential | AGACNP-BC |
| Practice Address |
4750 Waters Ave Ste 202 Savannah GA 31404-6278 |
| Practice Telephone | 9123509335 |
| Mailing Telephone | 9123507412 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | RN142839 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN142839 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4750 WATERS AVE STE 202 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31404-6278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497746754 | James R. Dunne | Surgery | 4750 Waters Ave Ste 202, Savannah, GA 31404 | 2005-11-03 |
| 1659915924 | Amy Thompson | Nurse Practitioner | 4750 Waters Ave Ste 202, Savannah, GA 31404-6278 | 2019-10-30 |
| 1699328856 | Morgan E Brett | Physician Assistant | 4750 Waters Ave Ste 202, Savannah, GA 31404-6278 | 2019-07-17 |
| 1639699531 | Christine Shealy Lokey | Nurse Practitioner | 4750 Waters Ave Ste 202, Savannah, GA 31404-6278 | 2017-06-21 |
| 1699135848 | Jessica R. Talles-eriksen | Physician Assistant | 4750 Waters Ave Ste 202, Savannah, GA 31404 | 2016-03-01 |
| 1588032817 | Michael Allman | Nurse Practitioner | 4750 Waters Ave Ste 202, Savannah, GA 31404-6278 | 2015-09-03 |
| 1003216045 | Jackie M Kehrli | Nurse Practitioner | 4750 Waters Ave Ste 202, Savannah, GA 31404 | 2014-08-27 |
| 1629492947 | Hannah Merrell | Physician Assistant | 4750 Waters Ave Ste 202, Savannah, GA 31404 | 2014-02-06 |
| 1205199700 | Katherine Marie Mcbride | Surgery | 4750 Waters Ave Ste 202, Savannah, GA 31404-6278 | 2012-06-19 |
| 1356670350 | Gina Oetgen Hazel | Nurse Practitioner | 4750 Waters Ave Ste 202, Savannah, GA 31404 | 2009-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864580 | Carli A Boatright | Registered Nurse | 4750 Waters Ave Suite 206, Savannah, GA 31404 | 2019-08-01 |
| 1619530573 | Morgan Johnson | Student in an Organized Health Care Education/Training Program | Memorial Health University Medical Center, 4700 Waters Ave, Savannah, GA 31404 | 2019-04-17 |
| 1477050243 | Kevin Timperman | Student in an Organized Health Care Education/Training Program | 4700 Waters Avenus, Surgery Residency Program, Mhumc, Savannah, GA 31404 | 2018-04-09 |
| 1376048959 | Nina Jo Paletta | Student in an Organized Health Care Education/Training Program | Memorial University Medical Center, 4700 Waters Ave., Savannah, GA 31404 | 2018-03-27 |
| 1972036200 | Jose Adrian Lara Gonzalez | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Memorial University Medical Center, Internal Medicine Residency Program, Savannah, GA 31404 | 2017-04-04 |
| 1407210396 | Lexie Hester Vaughn | Student in an Organized Health Care Education/Training Program | 1250 East 66th St, Savannah, GA 31404 | 2016-04-07 |
| 1336503291 | Miles Love | Student in an Organized Health Care Education/Training Program | 1250 East 66th Street, Savannah, GA 31404 | 2016-04-07 |
| 1134536881 | David Patch | Specialist/Technologist | Pediatric Residency Program, Memorial University, Medical Center 4700 Waters Avenue, Savannah, GA 31404 | 2014-07-15 |
| 1962846683 | Alan Danilo Zevallos | Internal Medicine | 4700 Waters Avenue, University Medical Center, Internal Medicine Residency Program, Memorial Health, Savannah, GA 31404 | 2013-04-24 |
| 1730446394 | Joshua Ryan Fann | Prosthetist | 3840 Waters Ave, Savannah, GA 31404 | 2012-04-19 |
| Find all providers in zip 31404 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811682 | Ashlee Renee Mack | Nurse Practitioner | 116 Slate Cir, Savannah, GA 31419-9681 | 2020-08-16 |
| 1861038044 | Mara Dawne Carson | Nurse Practitioner | 1515 Benton Blvd Apt 1328, Savannah, GA 31407-0440 | 2019-11-21 |
| 1710534474 | Aaron Montover | Nurse Practitioner | 225 Candler Dr Ste 301, Savannah, GA 31405-6091 | 2019-08-19 |
| 1407227994 | James Doyle Herring IIi | Nurse Practitioner | 302 Surrey Rd, Savannah, GA 31410-4407 | 2015-10-09 |
| 1649646688 | Susan Ahle | Nurse Practitioner | 8 Dockside Dr, Savannah, GA 31410-2536 | 2015-08-13 |
| 1912554841 | Haley Brooke Mccain | Nurse Practitioner | 1326 Eisenhower Dr Bldg 2, Savannah, GA 31406-3928 | 2019-08-26 |
| 1356993679 | Lana Marie Stark | Nurse Practitioner | 107 Southern Blvd, Savannah, GA 31405-7437 | 2019-07-16 |
| 1700308509 | Tiffany Lee Boulanger | Nurse Practitioner | 12345 Mercy Blvd, Savannah, GA 31419-3436 | 2017-07-13 |
| 1205383130 | Beverly J Lippert | Nurse Practitioner | 11700 Mercy Blvd, Plaza D #6, Savannah, GA 31419 | 2016-09-08 |
| 1679956056 | Stacy Creel | Nurse Practitioner | 6602 Waters Ave Bldg C, Savannah, GA 31406-2778 | 2015-07-03 |
| Find all providers in SAVANNAH | ||||
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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.