MRS. SUSAN CAROLINE HERRON (NPI# 1295861235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295861235 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN CAROLINE HERRON |
| Other Name | MS. SUSAN CAROLINE NELSON-WILSON |
| Credential | CRNP |
| Practice Address |
3510 Old Washington Road Suite 100 Waldorf MD 20602 |
| Practice Telephone | 3019325890 |
| Practice Fax Number | 3016456361 |
| Mailing Telephone | 3019325890 |
| Mailing Fax Number | 3016456361 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2018-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R070218 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R070218 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306203070 | Susan Herron | Peer Specialist | 100 Washington St, Elmira, NY 14901-2849 | 2016-01-26 |
| 1871806455 | Susan M Herron | Occupational Therapist | 2701 17th St, Rock Island, IL 61201-5351 | 2010-07-23 |
| Street Address |
3510 OLD WASHINGTON ROAD SUITE 100 |
| City | WALDORF |
| State | MD |
| Zip Code | 20602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770572042 | Henriot St Gerard | Specialist | 3510 Old Washington Road, Second Floor, Waldorf, MD 20603 | 2005-10-19 |
| 1720191455 | Carolyn B Martin | Registered Nurse | 3510 Old Washington Road, 2nd Floor, Waldorf, MD 20602 | 2006-08-16 |
| 1740261924 | Gopalakrishnan Srinivasan | Internal Medicine | 3510 Old Washington Road, Suite 100, Waldorf, MD 20602-3234 | 2005-11-07 |
| 1205817459 | Vivek Nag | Internal Medicine | 3510 Old Washington Road, Suite 100, Waldorf, MD 20602-3234 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| Find all providers in zip 20602 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386267011 | Ann Acosta | Nurse Practitioner | 2014 English Oak Ct, Waldorf, MD 20601-4505 | 2020-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416256 | Muriel Monsalud | Nurse Practitioner | 103 W Ostend St, Baltimore, MD 21230-3710 | 2020-10-27 |
| 1891307575 | Aparna Cynthia Nallala Anil | Nurse Practitioner | 75 Thomas Johnson Dr Ste I, Frederick, MD 21702-4895 | 2020-08-23 |
| 1285243832 | Jaspreet Kaur Garriques | Nurse Practitioner | 22 S Greene St # N8e10, Baltimore, MD 21201-1590 | 2020-07-29 |
| 1205455029 | Latoya Harvey | Nurse Practitioner | 8408 Adler Ct, Millersville, MD 21108-1771 | 2020-04-11 |
| 1013546100 | Issa Tew Lo | Nurse Practitioner | 6001 Muncaster Mill Rd, Rockville, MD 20855-1622 | 2020-04-02 |
| 1891328779 | Sergio Arellano-ayala | Nurse Practitioner | 22 S Greene St # S4d03, Baltimore, MD 21201-1544 | 2020-02-19 |
| 1518599844 | Hibret Kassa Yifru | Nurse Practitioner | 102 Abbey Manor Ter, Brookeville, MD 20833-3291 | 2020-02-05 |
| 1710518402 | Conny Nganga | Nurse Practitioner | 10605 Meridian Hill Way, Upper Marlboro, MD 20772-4847 | 2020-01-31 |
| 1689204604 | Nathaniel Darway | Nurse Practitioner | 500 John Ave, Essex, MD 21221-3344 | 2020-01-17 |
| 1477193209 | Sarah J Meadowcroft | Nurse Practitioner | 1707 Carver Sq, Salisbury, MD 21801-7040 | 2020-01-09 |
| 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.