MS. SUSANNA SCOTT KIVETTE (NPI# 1336573633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336573633 |
| Entity Type | Individual |
| Full Name | MS. SUSANNA SCOTT KIVETTE |
| Credential | PA |
| Practice Address |
86 N Mitchell Ave Bakersville NC 28705-6502 |
| Mailing Address |
Po Box 27 Bakersville NC 28705-0027 |
| Practice Telephone | 8286882104 |
| Mailing Telephone | 8286882104 |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-04332 | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
86 N MITCHELL AVE |
| City | BAKERSVILLE |
| State | NC |
| Zip Code | 28705-6502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912972860 | Florence Jeanette Dellinger | Nurse Practitioner | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2006-02-22 |
| 1790384105 | Cassie York | Counselor | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2020-10-19 |
| 1487284964 | Jessica Ruegg | Counselor | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2020-01-23 |
| 1659911634 | Myranda Edwards | Nurse Practitioner | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2020-01-08 |
| 1790346765 | Amelia Brommer | Social Worker | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2019-06-21 |
| 1285102640 | Kendra Lee Rumback | Physician Assistant | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2018-11-05 |
| 1396212981 | Lyndsay Edwards | Physician Assistant | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2018-11-01 |
| 1164962858 | Linda Myers-reed | Physician Assistant | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2017-03-01 |
| 1437507498 | Tiffany Woody | Nurse Practitioner | 86 N Mitchell Ave, Bakersville, NC 28705-6502 | 2016-06-01 |
| 1184086480 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 86 N Mitchell Ave, Room L, Bakersville, NC 28705-6502 | 2016-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747872 | Jordon Baker Acquisitions, Inc. | Pharmacy | 604 S Hwy 226, Bakersville, NC 28705 | 2020-10-16 |
| 1700122108 | Mitchell County Transportation Authority | Non-emergency Medical Transport (VAN) | 73 Crimson Laurel Circle, Suite 7, Bakersville, NC 28705 | 2012-12-13 |
| 1841444783 | Johnson Enterprises of Shelby Inc | Assisted Living Facility | 409 Harrison Ave, Yadkinville, NC 28705 | 2008-11-05 |
| 1609903301 | Bakersville Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 580 South Hwy 226, Bakersville, NC 28705 | 2007-02-28 |
| 1710075759 | Blue Ridge Hospital System Inc | General Acute Care Hospital | 89 North Mitchell Ave, Bakersville, NC 28705 | 2006-10-11 |
| 1467912782 | Anthony Lawson Hudson | Pharmacist | 580 South Hwy 226, Bakersville, NC 28705 | 2019-03-22 |
| 1467650036 | Pittman Family Care | Lodging | 47 Piney Haven Dr, Bakersville, NC 28705-0525 | 2007-07-05 |
| 1477113975 | Alex Colby Green | Dentist | 89 N Mitchell Ave, Bakersville, NC 28705-6502 | 2019-06-17 |
| 1932550381 | Nicole Allen | Family Medicine | 86 N Mitchell Ave Ste 510, Bakersville, NC 28705-6502 | 2016-06-28 |
| 1619517976 | Bakersville Community Medical Clinic, Incorporated | Clinic/Center | 89 N Mitchell Ave, Bakersville, NC 28705-6502 | 2020-01-14 |
| Find all providers in zip 28705 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
| Find all providers with the same taxonomy | ||||
| City | BAKERSVILLE |
| Zip Code | 28705 |
Please comment or provide details below to improve the information on MS. SUSANNA SCOTT KIVETTE.
| 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.