SUSAN J SPENCER (NPI# 1235224510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235224510 |
| Entity Type | Individual |
| Full Name | SUSAN J SPENCER |
| Credential | PAC |
| Practice Address |
7440 S 91st St Lincoln NE 68526-9797 |
| Mailing Address |
2000 Q St Suite 500 Lincoln NE 68503-3609 |
| Practice Telephone | 4024896555 |
| Practice Fax Number | 4023283770 |
| Mailing Telephone | 4023284922 |
| Mailing Fax Number | 4024210946 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 941 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
941 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
941 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10026072600 | 05 | |
| NE | 10026072500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730643214 | Susan Derian Spencer | Physical Therapist | 13142 N Hunters Cir, San Antonio, TX 78230-2843 | 2019-01-29 |
| 1922401959 | Susan H Spencer | Massage Therapist | 10790 W La Grange St, Boise, ID 83709-6264 | 2014-10-05 |
| 1659589125 | Susan Elizabeth Spencer | Specialist/Technologist, Other | 777 E Girard, Suite 250, Englewood, CO 80113 | 2007-05-18 |
| 1144343799 | Susan Spencer | Speech-Language Pathologist | Compro, 711 Bingham St, Pittsburgh, PA 15203 | 2007-04-09 |
| 1659423044 | Susan Elizabeth Spencer | Pharmacist | 9740b University City Blvd, Charlotte, NC 28213-3608 | 2007-01-17 |
| 1710088661 | Susan Spencer | Counselor | 53 Hindman Bypass Rd, Hindman, KY 41822 | 2006-09-25 |
| 1386619898 | Susan Beyer Spencer | Nurse Practitioner | 1521 N. Cooper St, Suite 630, Arlington, TX 76011 | 2006-02-18 |
| 1518937861 | Susan Shackelford Spencer | Social Worker | 365 Chaffin Ridge Ct, Roswell, GA 30075-2351 | 2006-01-26 |
| 1821624545 | Susan Carol Spencer | Speech-Language Pathologist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2020-03-13 |
| 1457767352 | Susan Spencer | Massage Therapist | 6580 N Northwest Hwy, Chicago, IL 60631-1415 | 2014-07-11 |
| Street Address |
7440 S 91ST ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68526-9797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922088657 | Kaliprasad N Ayala | Internal Medicine | 7440 S 91st St, Lincoln, NE 68526-9797 | 2006-01-19 |
| 1902439466 | Thien Minh Kieu | Nurse Practitioner | 7440 S 91st St, Lincoln, NE 68526-9797 | 2020-02-12 |
| 1831657642 | Parker Hoffman | Physician Assistant | 7440 S 91st St, Lincoln, NE 68526-9797 | 2019-03-11 |
| 1093290041 | Christine Ann Shank | Nurse Practitioner | 7440 S 91st St, Lincoln, NE 68526-9797 | 2018-09-26 |
| 1104346113 | Letisha Jolene Ferris | Internal Medicine | 7440 S 91st St, Lincoln, NE 68526-9797 | 2017-06-21 |
| 1184073447 | Allison Koester | Physician Assistant | 7440 S 91st St, Lincoln, NE 68526-9797 | 2016-06-08 |
| 1659749471 | Kristina C Hardy | Nurse Practitioner | 7440 S 91st St, Lincoln, NE 68526-9797 | 2015-09-10 |
| 1548654213 | Stephanie K Lee | Physician Assistant | 7440 S 91st St, Lincoln, NE 68526-9797 | 2015-03-20 |
| 1619390465 | Ashley Fratello | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7440 S 91st St, Lincoln, NE 68526-9797 | 2014-01-30 |
| 1801219175 | Lauren Nitz | Physician Assistant | 7440 S 91st St, Lincoln, NE 68526-9797 | 2014-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881251189 | Jennifer Demesquita Harrison | Nurse Practitioner | Alivation Health, 8550 Cuthills Circle, Lincoln, NE 68526 | 2019-05-22 |
| 1265954648 | Grant Essink | Dentist | 7822 South 96th Bay, Lincoln, NE 68526 | 2017-07-07 |
| 1528405719 | Charles Weston Whitten | Anesthesiology | 4546 S 86th St Ste B, Lincoln, NE 68526 | 2013-05-28 |
| 1912055112 | Hemantha Kumar Koduri | Internal Medicine | 4445 S 86th St Ste 100, Lincoln, NE 68526 | 2007-01-06 |
| 1306909585 | Melanie J Fulton | Dentist | 4525 So 86th, Ste A, Lincoln, NE 68526 | 2006-12-18 |
| 1952359812 | Kathleen Ann Packard | Pharmacist | 7440 S 91st Street, Lincoln, NE 68526 | 2006-05-04 |
| 1861932444 | Amber Walter | Advanced Practice Midwife | 9110 Andermatt Drive, Ste 2, Lincoln, NE 68526 | 2017-03-02 |
| 1801205794 | Danielle Melissa Kollasch | Physician Assistant | 8550 Cuthills Circle, Lincoln, NE 68526 | 2014-08-05 |
| 1891132700 | Michaela Irene Kadavy | Counselor | 4545 S 86th St, Lincoln, NE 68526 | 2013-05-31 |
| 1578827614 | Sams West Inc | Technician/Technologist | 8480 Andermatt Dr, Lincoln, NE 68526 | 2012-07-03 |
| Find all providers in zip 68526 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111706 | Nicole Laura Solman | Physician Assistant | 16 Deerhaven Rd, Lincoln, MA 01773-1806 | 2018-10-24 |
| 1285643189 | Charles E Scholtes | Physician Assistant | 8207 Northwoods Drive, Lincoln, NE 68505-2093 | 2006-08-07 |
| 1447237284 | Todd Allen Sorensen | Physician Assistant | 2222 S 16th St Medical Tower B, Ste 305, Lincoln, NE 68502 | 2005-12-22 |
| 1609851005 | Timothy J Yrastorza | Physician Assistant | 4740 A St, Suite 100, Lincoln, NE 68510-4824 | 2005-12-08 |
| 1013548106 | Aaron Patrick Aldana | Physician Assistant | 1101 S 70th St Ste 100, Lincoln, NE 68510-4293 | 2020-01-28 |
| 1336706498 | Kristen Illene Huebsch | Physician Assistant | 1101 S 70th St Ste 100, Lincoln, NE 68510-4293 | 2019-05-23 |
| 1831657642 | Parker Hoffman | Physician Assistant | 7440 S 91st St, Lincoln, NE 68526-9797 | 2019-03-11 |
| 1003309451 | Andre N Orduna | Physician Assistant | 1500 S 48th St Ste 400, Lincoln, NE 68506-1278 | 2018-06-11 |
| 1255851010 | Jessica R Zaruba | Physician Assistant | 1101 S 70th St Ste 100, Lincoln, NE 68510-4293 | 2017-06-22 |
| 1053861617 | Lauren Chatwell | Physician Assistant | 2222 S 16th St Ste 305, Lincoln, NE 68502-3762 | 2016-10-07 |
| Find all providers in LINCOLN | ||||
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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.