SUSAN SANFORD EBY (NPI# 1295734903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295734903 |
| Entity Type | Individual |
| Full Name | SUSAN SANFORD EBY |
| Credential | APN |
| Practice Address |
130 Mabry Hood Road Suite 103 Knoxville TN 37922-2221 |
| Practice Telephone | 8653147002 |
| Practice Fax Number | 8656227090 |
| Mailing Telephone | 8653147002 |
| Mailing Fax Number | 8656227090 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2016-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APN7016 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN101035 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3908549 | 05 | |
| TN | MEDICARE ID--UNSPECIFIED TYPE | 3908549 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497934020 | Susan C. Eby | Physical Therapist | 157 W 91st St, New York, NY 10024-1301 | 2007-10-31 |
| 1124377361 | Susan Eby | Social Worker | 2001 Blue Heron Blvd W, Riviera Beach, FL 33404-5003 | 2012-09-04 |
| Street Address |
130 MABRY HOOD ROAD SUITE 103 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37922-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1174052823 | 24/7 Healthcare, Inc. | Nursing Care | 110 Center Park Drive, Suite 101, Knoxville, TN 37922 | 2017-06-07 |
| 1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| 1275904096 | Medical Necessities & Services LLC | Durable Medical Equipment & Medical Supplies | 9327 S Northshore Dr, Knoxville, TN 37922 | 2015-10-20 |
| 1841668126 | Chad Szala | Behavioral Analyst | 10721 Chapman Hwy #22, Knoxville, TN 37922 | 2015-09-03 |
| 1275916470 | Nikki Nicole Peoples | Acupuncturist | 10406 Jackson Oaks Way Ste A, Knoxville, TN 37922 | 2015-07-07 |
| 1538577747 | Susan Carter | Optometrist | 2053 Thunderhead Rd, Knoxville, TN 37922 | 2014-07-31 |
| 1366868135 | Heartland Infusion | Clinic/Center | 9943 Kingston Pike, Knoxville, TN 37922 | 2014-03-17 |
| Find all providers in zip 37922 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098388 | Emily Katherine Hayes | Nurse Practitioner | 6626 Old Central Avenue Pike, Knoxville, TN 37912 | 2019-05-14 |
| 1548678352 | Kristi Osborne | Nurse Practitioner | 2620 Mineral Springs Ave Ste A, Knoxville, TN 37917-1570 | 2014-07-24 |
| 1740422013 | Carol Preston | Nurse Practitioner | 314 Kennon Rd, Knoxville, TN 37909-3032 | 2009-04-01 |
| 1154523124 | Psychiatric Specialist, LLC | Nurse Practitioner | 8236 Glenrothes Blvd, Knoxville, TN 37909-2158 | 2007-06-01 |
| 1457412157 | Christina G Raman | Nurse Practitioner | 1111 N Northshore Dr Ste 490, Knoxville, TN 37919-4005 | 2006-12-13 |
| 1073609764 | Darneta G Brown | Nurse Practitioner | 2606 Greenway Drive, Suite 105, Knoxville, TN 37918 | 2006-10-04 |
| 1003925942 | Jill Powell | Nurse Practitioner | 3715 Sutherland Ave, Knoxville, TN 37919-4338 | 2006-08-30 |
| 1205804994 | Susan Goolsby | Nurse Practitioner | 116 Concord Rd Ste 100, Knoxville, TN 37934-2941 | 2006-03-09 |
| 1306824263 | Carol Kraemer Witherington | Nurse Practitioner | 5908 Lyons View Pike, Knoxville, TN 37919-7520 | 2006-01-02 |
| 1942286521 | Psychiatric Concepts, LLC | Nurse Practitioner | 2620 Mineral Springs Ave, Suite A, Knoxville, TN 37917-1569 | 2005-12-15 |
| Find all providers in KNOXVILLE | ||||
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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.