MRS. SUSAN L. SHOOK (NPI# 1245584168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245584168 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN L. SHOOK |
| Credential | RN |
| Practice Address |
5345 Crossroads Drive Acworth GA 30102-2536 |
| Mailing Address |
P.o. Box 2699 Woodstock GA 30188-1384 |
| Practice Telephone | 6783915950 |
| Practice Fax Number | 6783915969 |
| Mailing Telephone | 6783915950 |
| Mailing Fax Number | 6783915969 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
RN224860 | GA | Nursing Service Providers |
| N | 163WA2000X |
Registered Nurse Specialization: Administrator |
RN224860 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649428830 | Susan Denise Shook | Registered Nurse | 1055 Clermont St, Denver, CO 80220-3808 | 2008-08-31 |
| 1063405330 | Susan E Shook | Nurse Practitioner | 500 University Dr, Hershey, PA 17033-2360 | 2005-08-23 |
| Street Address |
5345 CROSSROADS DRIVE |
| City | ACWORTH |
| State | GA |
| Zip Code | 30102-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295089134 | The Hopequest Ministry Group, Inc. | Substance Abuse Rehabilitation Facility | 5345 Crossroads Drive, Acworth, GA 30102 | 2012-10-30 |
| 1700130622 | Philip S. Mitchell | Counselor | 5345 Crossroads Drive, Acworth, GA 30102-2536 | 2012-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821563677 | Amanda Kristine Roberts | Specialist/Technologist | 1493 Highway 92, Acworth, GA 30102 | 2018-10-09 |
| 1265958391 | Hannah Pepper | Doula | 115 Bennett Farms Dr, Acworth, GA 30102 | 2017-08-21 |
| 1528594314 | Kendra Chantelle Krieg | Emergency Medicine | 185 Anniversary Ln, Acworth, GA 30102 | 2017-05-11 |
| 1215484860 | Jackson Family Therapy and Counseling | Community/Behavioral Health | 2117 Hamby Cove Dr, Nw, Acworth, GA 30102 | 2016-09-01 |
| 1851609887 | Health Cord of Georgia Inc | Emergency Medical Technician, Basic | 5345 Bells Ferry Rd, Acworth, GA 30102 | 2010-09-24 |
| 1073842928 | Susan Rachel Layton | Clinical Nurse Specialist | 519 Olympic Way, Acworth, GA 30102 | 2009-12-23 |
| 1073779971 | Karen Casadaban | Speech-Language Pathologist | 4957 Day Lily Way, Acworth, GA 30102 | 2008-07-31 |
| 1538205109 | Alan Stuart Horlick | Dentist | 6572 Highway 92, Suite 120, Acworth, GA 30102 | 2007-01-30 |
| 1982620472 | Samuel Arthur Mielcarski | Physical Therapist | 5505 Bells Ferry Rd, Suite 240, Acworth, GA 30102 | 2006-07-15 |
| 1972099737 | Speech Teachers of North Georgia LLC | Clinic/Center | 205 Shaw Dr, Acworth, GA 30102 | 2018-07-05 |
| Find all providers in zip 30102 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720626963 | Patti Mckinley Prater | Registered Nurse | 37 Calumet Pkwy Ste 101, Newnan, GA 30263-6734 | 2019-12-18 |
| 1851932156 | Nancy Ann Ivie | Registered Nurse | 4271 S Lee St Ste 101, Buford, GA 30518-3710 | 2019-10-08 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1346734217 | Ella Michelle Stephenson | Registered Nurse | 7002 Annie Walk, Lithonia, GA 30038-4675 | 2018-06-14 |
| 1689182685 | Candace Annette Thompson | Registered Nurse | 4751 Best Rd Ste 150, Atlanta, GA 30337-5601 | 2018-01-12 |
| 1093251167 | Emily Ann Brumfield | Registered Nurse | 2109 Fairburn Rd, Ste A, Douglasville, GA 30135-1037 | 2017-01-13 |
| 1275080541 | Brenda Goodgame | Registered Nurse | 109 Austin Way, 109 Austin Way, Savannah, GA 31419-6207 | 2016-09-05 |
| 1437425899 | Shasheeta Youlanda Hammond | Registered Nurse | 1300 Georgian Pl Apt 5, Dalton, GA 30720-4388 | 2012-03-29 |
| 1679804603 | County Paradise Assisted Living | Registered Nurse | 546 Macon Road, Mcintyre, GA 31054 | 2010-01-14 |
| 1275775801 | Cynthia Ann Frissora Murray | Registered Nurse | 6563 Garrett Rd, Buford, GA 30518-1109 | 2009-03-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. SUSAN L. SHOOK.
| 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.