MS. SUSAN KAY NICHOLSON


Address: 915 N Grand Blvd, 111-jc/gi, Saint Louis, MO 63106-1621
Phone: 3146524100

MS. SUSAN KAY NICHOLSON (NPI# 1275546020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275546020
Entity Type Individual
Full Name MS. SUSAN KAY NICHOLSON
Other Name MS. SUSAN KAY SMITLEY
Credential P.A.
Practice Address 915 N Grand Blvd
111-jc/gi
Saint Louis
MO 63106-1621
Practice Telephone 3146524100
Practice Fax Number 3142897035
Mailing Telephone 3146524100
Mailing Fax Number 3142897035
Enumeration Date 2006-08-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Providers SUSAN NICHOLSON

NPI Name Taxonomy Address Enumeration
1588984710 Susan Nicholson Pharmacist 232 Roosevelt Ave, Enumclaw, WA 98022-8242 2010-06-10
1568522811 Susan Paige Nicholson Nurse Anesthetist, Certified Registered 412 Tinkerbell Rd, Chapel Hill, NC 27517-2337 2006-12-09
1104286319 Susan Nicholson Massage Therapist 700 Empire Blvd, Rochester, NY 14609-5948 2016-03-01
1043698897 Susan Jennifer Nicholson Behavioral Analyst N27w23953 Paul Rd, Suite 206, Pewaukee, WI 53072-6242 2015-05-13
1629418587 Susan Nicholson Internal Medicine 1300 York Ave, Lc-423, New York, NY 10065-4805 2013-06-25
1437328721 Susan Nicholson Developmental Therapist 103 Johnson St, Lynn, MA 01902-4001 2008-02-21
1023232626 Susan Cummings Nicholson Social Worker 703 Thimble Shoals Blvd, A-3, Newport News, VA 23606-2576 2007-04-13
1558480756 Susan Sanger Nicholson Nurse Practitioner 2030 Mountain View Ave, Suite 400, Longmont, CO 80501-3182 2007-03-28

Office Location

Street Address 915 N GRAND BLVD
111-JC/GI
City SAINT LOUIS
State MO
Zip Code 63106-1621

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033115480 Jamie Lynn Swanson Physician Assistant 915 N Grand Blvd, Saint Louis, MO 63106-1621 2005-06-21
1821602756 Courtney Kay Duberry Optometrist 915 N Grand Blvd, Saint Louis, MO 63106-1621 2020-09-08
1043820053 Kathryn Marie Storm Pharmacist 915 N Grand Blvd, Saint Louis, MO 63106-1621 2020-08-04
1326657230 Rebecca Oluwafunmito Babalola Pharmacist 915 N Grand Blvd, Saint Louis, MO 63106-1621 2020-07-27
1639787328 Justin Clarke Liedke Pharmacist 915 N Grand Blvd, Saint Louis, MO 63106-1621 2020-07-19
1639796899 Taylor Anderson Nurse Practitioner 915 N Grand Blvd, Saint Louis, MO 63106-1621 2020-07-02
1427675800 Lauren Elizabeth Smith Nurse Practitioner 915 N Grand Blvd, Saint Louis, MO 63106-1621 2020-07-01
1427675925 Christa Marie Stoutenborough Nurse Practitioner 915 N Grand Blvd, Saint Louis, MO 63106-1621 2020-06-30
1992322739 Alexia Lambos Georges Perfusionist 915 N Grand Blvd, Saint Louis, MO 63106-1621 2020-06-27
1912522210 Meaghan Elizabeth Lecture Nurse Practitioner 915 N Grand Blvd, Saint Louis, MO 63106-1621 2020-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770027997 Superior Manor of Downtown LLC Assisted Living Facility 1501 Clinton St., St Louis, MO 63106 2016-12-07
1811361454 James Preston Jr. Pharmacist 915 N. Grand Vlvd, Pharmacy Dept., John Cochran Va Medical Center, Saint Louis, MO 63106 2015-11-19
1245656354 Julie Marie Albsmeyer Physician Assistant 915 North Grand 111-jc-gi, John Cochran Va Hospital, St. Louis, MO 63106 2014-03-13
1932523230 Cathy Yeung Registered Nurse 715 N Grand Blvd., St Louis, MO 63106 2014-02-07
1902149388 Amanda Foley Doula 4056 Humphrey Street, Saint Louis, MO 63106 2013-04-03
1942569876 Cornelia Charles Internal Medicine 915 Norh Grand Blvd, Saint Louis, MO 63106 2012-05-12
1124334396 Kasandra Ann Tinajero Registered Nurse 915 N. Grand Blvd., St. Louis, MO 63106 2010-08-26
1366673931 Cassandra Vernetta Talbert Social Worker 915 N. Grand., 122/jc Social Work Dept. V.a. Medical Center, St. Louis, MO 63106 2009-07-30
1497910707 Robert Louis Tillman Pharmacy Technician 915 N Grand Ave, St. Louis, MO 63106 2008-07-25
1861676686 Bradley Dean Overmeyer Social Worker 915 N Grand Blvd., Social Work Service, St. Louis, MO 63106 2007-12-28
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639779341 Andrew Hecht Physician Assistant 13131 Tesson Ferry Rd Ste 105, Saint Louis, MO 63128-3887 2020-10-30
1396352860 Alexis Lindsey Physician Assistant 5629 Bischoff Ave, Saint Louis, MO 63110-2929 2020-09-28
1942824339 Jett Elena Mcguire Physician Assistant 2200 Locust St Apt 506, Saint Louis, MO 63103-1532 2020-06-02
1356965602 Katherine Anne Hill Physician Assistant 3619 Whispering Ridge Ln, Saint Louis, MO 63129-2247 2020-06-02
1326669516 Kayla Bergmann Physician Assistant 58 W Glendale Rd, Saint Louis, MO 63119-4054 2020-04-29
1023638038 Laura Ann Humphrey Physician Assistant Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 2020-04-20
1477172237 Allison Mcniell Physician Assistant 3853 Mcdonald Ave # 1f, Saint Louis, MO 63116-4716 2020-04-13
1922627728 Allissa Speiser Physician Assistant 3437 Caroline St Ste 3082, Saint Louis, MO 63104-1111 2020-04-11
1578182564 Alexander Charles Greff Physician Assistant 6416 Oakland Ave Apt 306, Saint Louis, MO 63139-3226 2020-04-10
1043839061 Andrew Chida Physician Assistant 2050 Lafayette Ave Apt 1e, Saint Louis, MO 63104-2529 2020-04-09
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Competitor

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City SAINT LOUIS
Zip Code 63106

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Dataset Information

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.

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