SUSAN RACHEL ETHRIDGE (NPI# 1316922206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316922206 |
| Entity Type | Individual |
| Full Name | SUSAN RACHEL ETHRIDGE |
| Credential | FNP |
| Practice Address |
235 E Washington Ave Ashburn GA 31714-5224 |
| Mailing Address |
Po Box 709 Ashburn GA 31714-0709 |
| Practice Telephone | 2297789216 |
| Practice Fax Number | 2297789218 |
| Mailing Telephone | 2295673361 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2016-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R076629 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
235 E WASHINGTON AVE |
| City | ASHBURN |
| State | GA |
| Zip Code | 31714-5224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649734773 | Chl | Clinic/Center | 235 E Washington Ave, Ashburn, GA 31714-5224 | 2019-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982050639 | Clinton Cawley | Student in an Organized Health Care Education/Training Program | 4022 Coverdale Hwy, Ashburn, GA 31714 | 2016-05-12 |
| 1972902369 | Genesis Dme, Inc. | Durable Medical Equipment & Medical Supplies | 237 E. Washington Ave., Ashburn, GA 31714 | 2014-08-21 |
| 1386952265 | United Rehab Inc. | Clinic/Center | 441 Industrial Blvd, Ashburn, GA 31714 | 2010-09-14 |
| 1518020122 | Christopher J. White | Dentist | 274 Whittle Cir, Ashburn, GA 31714-1918 | 2006-12-18 |
| 1477854693 | Susan Perkins Scott | Dental Hygienist | 274 Whittle Cir, Ashburn, GA 31714-1918 | 2010-11-04 |
| 1033448451 | Wendy M Hancock | Dental Hygienist | 274 Whittle Cir, Ashburn, GA 31714-1918 | 2009-12-14 |
| 1023157567 | Christopher J. White, Dds, Inc. | Dentist | 274 Whittle Cir, Ashburn, GA 31714-1918 | 2007-02-05 |
| 1366580888 | Tracy S Bass | Dental Hygienist | 274 Whittle Cir, Ashburn, GA 31714-1918 | 2007-02-05 |
| 1851465645 | Mary Grace Hobby I | Speech-Language Pathologist | 177 Hobby Ln, Ashburn, GA 31714-1926 | 2006-11-20 |
| 1992323554 | Montakesha Range Hillmon | Contractor | 1045 Martin Luther King Jr Dr Lot 42, Ashburn, GA 31714-2146 | 2020-07-10 |
| Find all providers in zip 31714 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575016 | Lauren Marie Rayburn | Nurse Practitioner | 21021 Sycolin Rd, Ashburn, VA 20147-4097 | 2020-10-16 |
| 1063064772 | Dana Jones-sheppard | Nurse Practitioner | 44121 Harry Byrd Hwy Ste 285, Ashburn, VA 20147-5673 | 2019-07-12 |
| 1497238877 | Cynthia Lynn Cleghorn | Nurse Practitioner | 2837 Son Story Rd, Ashburn, GA 31714-2285 | 2018-09-11 |
| 1770079857 | Margaret Ann Markie | Nurse Practitioner | 44121 Harry Byrd Hwy Ste 210, Ashburn, VA 20147-5667 | 2018-07-02 |
| 1083101489 | Nicole Connelly | Nurse Practitioner | 44095 Pipeline Plz Ste 410, Ashburn, VA 20147-7518 | 2018-04-20 |
| 1396260162 | Lindsay Beall | Nurse Practitioner | 21092 Lost Moccasin Ter, Ashburn, VA 20147-3221 | 2017-08-13 |
| 1437697075 | Rachel Sparks | Nurse Practitioner | 20905 Professional Plz Ste 330, Ashburn, VA 20147-3409 | 2017-02-02 |
| 1962851352 | Keri Lynn Altman | Nurse Practitioner | 705 Hudson Ave, Ashburn, GA 31714-5312 | 2016-06-07 |
| 1538348487 | Stephanie I. Beske | Nurse Practitioner | 41968 Pleasant Forest Ct, Ashburn, VA 20148-7349 | 2007-10-29 |
| 1477502110 | Penelynne Tan Flores | Nurse Practitioner | 44320 Premier Plaza, Ste 110, Ashburn, VA 20147-5077 | 2006-05-09 |
| Find all providers in ASHBURN | ||||
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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.