MRS. SUSAN ELLEN BECK (NPI# 1265533764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265533764 |
Entity Type | Individual |
Full Name | MRS. SUSAN ELLEN BECK |
Credential | C.P.N.P. |
Practice Address |
2100 4th St Jackson MI 49203-4518 |
Practice Telephone | 5177874330 |
Practice Fax Number | 5177874861 |
Mailing Telephone | 5177874330 |
Mailing Fax Number | 5177874861 |
Enumeration Date | 2006-09-26 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704219112 | MI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | PHP | 83 20030 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588226369 | Susan Beck | Acupuncturist | 115 Rollingwoods Dr, Santa Cruz, CA 95060-1017 | 2019-07-02 |
1376847483 | Susan Kreh Beck | Psychologist | 304 Firebridge Rd, Columbia, SC 29223-5122 | 2011-01-04 |
1356494447 | Susan Alaana Beck | Acupuncturist | 7571 Sw Aloma Way, #3, Portland, OR 97223-7970 | 2007-01-19 |
1902960024 | Susan Vera Beck | Massage Therapist | 9505 N Division St, Ste 103, Spokane, WA 99218 | 2006-12-21 |
1609280932 | Susan Beck | Pharmacist | 2241 Rockford St, Mount Airy, NC 27030-5262 | 2014-06-14 |
1700063823 | Susan Beck | Psychologist | 200 Elizabeth St, Charleston, WV 25311-2119 | 2008-01-31 |
1518096460 | Susan La Greca Beck | Optometrist | 3920 Bee Ridge Rd, Bldg. A Ste. A, Sarasota, FL 34233-1207 | 2007-03-05 |
1881782696 | Susan M Beck | Family Medicine | 151 W Lake St Ste 1500, Fort Collins, CO 80524-4124 | 2006-10-10 |
1639284508 | Susan L Beck | Surgery | 1601 Nw 114th St Ste 151, Clive, IA 50325-7046 | 2006-08-20 |
1316959422 | Susan L Beck | Social Worker | 752 Ott St, Harrisonburg, VA 22801-3214 | 2006-08-13 |
Street Address |
2100 4TH ST |
City | JACKSON |
State | MI |
Zip Code | 49203-4518 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841286937 | Katikineni V Rao | Pediatrics | 2100 4th St, Jackson, MI 49203-4518 | 2005-09-23 |
1356826044 | Kaelyn Monroe | Nurse Practitioner | 2100 4th St, Jackson, MI 49203-4518 | 2018-09-27 |
1154723344 | Stephanie Johnson | Nurse Practitioner | 2100 4th St, Jackson, MI 49203-4518 | 2014-09-19 |
1477781169 | Parkside Pediatric Clinic,p.c. | Pediatrics | 2100 4th St, Jackson, MI 49203-4518 | 2009-07-01 |
1396792560 | Timothy S Van Schoick, M.d.,p.c. | Legal Medicine | 2100 4th St, Jackson, MI 49203-4518 | 2006-05-31 |
1689626400 | Lenae E Vanwagnen | Specialist | 2100 4th St, Jackson, MI 49203-4518 | 2006-05-17 |
1760441455 | Timothy Scott Vanschoick | Pediatrics | 2100 4th St, Jackson, MI 49203-4518 | 2006-03-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760900120 | Cynthia A Rider Dmd Pllc | Oral & Maxillofacial Surgery | 2545 Spring Arbor Road, Suite 202, Jackson, MI 49203 | 2017-09-06 |
1407224280 | Lucinda Gail Taggart | Licensed Practical Nurse | 1515 Greenwood Ave., Jackson, MI 49203 | 2015-09-10 |
1134514045 | Christopher Dauterman | Registered Nurse | 1320 East Mcdevitt, Jackson, MI 49203 | 2015-03-30 |
1710386826 | Steven Andrew Edwards | Social Worker | 505 Hickory Court, #2d, Jackson, MI 49203 | 2014-08-14 |
1861800666 | Michigan Continuum Care Pllc | Internal Medicine | 1310 Greenwood Ave., Jackson, MI 49203 | 2014-07-25 |
1497014831 | Barbara Cliffe-miller | Physical Therapist | 3510 Page Ave, Jackson, MI 49203 | 2012-05-04 |
1871822718 | Sharon Ann Arendsen | Respite Care | 4043 Clarkway Rd, Jackson, MI 49203 | 2009-12-23 |
1669700456 | Teresa Lynn Cox | Technician, Other | 3884 Franklin Rd., Jackson, MI 49203 | 2009-12-07 |
1942537097 | Stacy Marie Chinevere I | Counselor | 326 Johnson St, Jackson, MI 49203 | 2009-11-11 |
1366672370 | Sarah Elizabeth Hazlett | Counselor | 1522joy Avenue, Jackson, MI 49203 | 2009-07-24 |
Find all providers in zip 49203 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881219129 | Esther Epstein | Nurse Practitioner | 9 Dorchester Ct, Jackson, NJ 08527-2221 | 2020-06-12 |
1891233276 | Optimum Healthcare Associates, Pa | Nurse Practitioner | 5350 Executive Pl, Suite 8, Jackson, MS 39206-4100 | 2017-02-06 |
1285778639 | Felesia R Bowen | Nurse Practitioner | 17 Twin Oaks Ct, Jackson, NJ 08527-5359 | 2007-02-19 |
1972500536 | Colleen Chadderton | Nurse Practitioner | 760 W Franklin St, Jackson, MI 49201-2048 | 2005-06-28 |
1942817366 | Jenna Rhodig | Nurse Practitioner | 1418 E Michigan Ave, Jackson, MI 49202-3518 | 2020-09-29 |
1407466428 | Alexandra Brittain | Nurse Practitioner | 19 Security Dr, Jackson, TN 38305-3626 | 2020-08-04 |
1184189680 | Lyndi Nicole Ryan | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2019-02-08 |
1487123923 | Leah Lenaee Warner | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2018-11-14 |
1356826044 | Kaelyn Monroe | Nurse Practitioner | 2100 4th St, Jackson, MI 49203-4518 | 2018-09-27 |
1104300615 | Emileigh S Williams | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2018-09-20 |
Find all providers in JACKSON |
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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.