SUSAN D ELLISON (NPI# 1255960597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255960597 |
| Entity Type | Individual |
| Full Name | SUSAN D ELLISON |
| Credential | RN |
| Practice Address |
5629 Stadium Dr Ste D Kalamazoo MI 49009-1952 |
| Practice Telephone | 2693725701 |
| Practice Fax Number | 2693725702 |
| Mailing Telephone | 2693725701 |
| Mailing Fax Number | 2693725702 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
470422171 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992280085 | Susan Raye Ellison | Nurse's Aide | 11747 E.hwy 904, Siler, KY 40763-4076 | 2018-09-25 |
| 1861642092 | Susan Ellison | Dentist | 12850 Jones Rd Ste 103, Houston, TX 77070-4956 | 2008-09-24 |
| 1821307604 | Susan Ellison | Registered Nurse | 1125 Pierce St, Sioux City, IA 51105-1485 | 2010-09-28 |
| 1306085675 | Susan D Ellison | Case Manager/Care Coordinator | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2009-02-11 |
| Street Address |
5629 STADIUM DR STE D |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49009-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021747 | Patricia Ellen Katje | Registered Nurse | 5629 Stadium Dr Ste D, Kalamazoo, MI 49009-1952 | 2020-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
| 1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
| 1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
| 1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
| 1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
| 1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
| 1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
| 1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
| Find all providers in zip 49009 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227375 | Tracey Miller | Registered Nurse | 6480 Technology Ave Ste A, Kalamazoo, MI 49009-8126 | 2020-08-26 |
| 1356961619 | Suzann Bellinger | Registered Nurse | 1820 Shaffer St, Kalamazoo, MI 49048-1656 | 2020-04-16 |
| 1538788849 | Allyce Mary Olmstead | Registered Nurse | 601 John St Ste M-020, Kalamazoo, MI 49007-5381 | 2020-04-16 |
| 1194344853 | Amber Johnson | Registered Nurse | 601 John St Ste M-170, Kalamazoo, MI 49007-5366 | 2020-04-13 |
| 1073142295 | Grace Ann Lopez | Registered Nurse | 601 John St Ste M-170, Kalamazoo, MI 49007-5366 | 2020-04-08 |
| 1356970537 | Annette Yvonne Gipson | Registered Nurse | 5629 Stadium Dr, Kalamazoo, MI 49009-1952 | 2020-04-08 |
| 1629697818 | Sheneeka Skinner | Registered Nurse | 4613 W Main St, Kalamazoo, MI 49006-2645 | 2020-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639798887 | Julie Marie Marchlewski | Registered Nurse | 363 Fremont St Ste 308ab, Battle Creek, MI 49017-3389 | 2020-04-08 |
| 1982233243 | Andrea D Coats | Registered Nurse | 6901 Portage Rd, Portage, MI 49002-3702 | 2020-04-07 |
| 1497384820 | Ashley Rosa | Registered Nurse | 6901 Portage Rd Ste 210, Portage, MI 49002-3702 | 2020-04-07 |
| 1184961740 | Pamela Sue Worden | Registered Nurse | 5372 Mirage Cir, Dimondale, MI 48821-9303 | 2013-01-15 |
| 1205101763 | Vivian Gail Rankins | Registered Nurse | 3219 Traum Dr, Saginaw, MI 48602-3480 | 2012-03-16 |
| 1467722926 | Ashleigh Beth Miller | Registered Nurse | 3095 Shiawassee Shores Dr, Fenton, MI 48430-1353 | 2011-12-30 |
| 1609156496 | Lillian Paris Brown | Registered Nurse | 18185 Shoreline Ct, Northville, MI 48168-3291 | 2011-08-24 |
| 1992325120 | Susan Marie Rose-tapper | Registered Nurse | 965 S Bailey Ave, South Haven, MI 49090-6743 | 2020-04-17 |
| 1780203125 | Linda M Krzemen | Registered Nurse | 930 Blue Star Hwy, South Haven, MI 49090-7758 | 2020-04-15 |
| 1245869585 | Erica Nagra | Registered Nurse | 319 W Delaware St, Decatur, MI 49045-1106 | 2020-04-08 |
| Find all providers with the same taxonomy | ||||
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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.