MS. SUSAN WEBB WILD (NPI# 1396942009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396942009 |
| Entity Type | Individual |
| Full Name | MS. SUSAN WEBB WILD |
| Credential | RN |
| Practice Address |
780 Shadowridge Dr Kaiser Department of Psychiatry Vista CA 92083-7986 |
| Practice Telephone | 7605992350 |
| Practice Fax Number | 7605992399 |
| Mailing Telephone | 7605992350 |
| Mailing Fax Number | 7605992399 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
338329 | CA | Nursing Service Providers |
| Street Address |
780 SHADOWRIDGE DR KAISER DEPARTMENT OF PSYCHIATRY |
| City | VISTA |
| State | CA |
| Zip Code | 92083-7986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942284666 | Ji Hyung Yoo | Psychiatry & Neurology | 780 Shadowridge Dr, Vista, CA 92083-7986 | 2005-12-06 |
| 1598149494 | Lisa Alexandra Vitale | Counselor | 780 Shadowridge Dr, Vista, CA 92083-7986 | 2015-07-10 |
| 1366860561 | Amber Welch | Marriage & Family Therapist | 780 Shadowridge Dr, Vista, CA 92083-7986 | 2014-04-03 |
| 1033492194 | Heather Arrington | Marriage & Family Therapist | 780 Shadowridge Dr, Vista, CA 92083-7986 | 2011-09-26 |
| 1508173808 | Cynthia Lynn Nutter | Marriage & Family Therapist | 780 Shadowridge Dr, Vista, CA 92083-7986 | 2010-09-08 |
| 1275863854 | Brenda Erickson | Psychiatry & Neurology | 780 Shadowridge Dr, Vista, CA 92083-7986 | 2010-01-05 |
| 1154570828 | Maritza Mikolich | Marriage & Family Therapist | 780 Shadowridge Dr, Vista, CA 92083-7986 | 2008-09-17 |
| 1831346741 | Robin Leslie Sales | Social Worker | 780 Shadowridge Dr, Vista, CA 92083-7986 | 2008-08-21 |
| 1114188646 | Garth Stephen Watkins | Psychiatry & Neurology | 780 Shadowridge Dr, Vista, CA 92083-7986 | 2008-06-18 |
| 1962673277 | Marcia Evelyn Francis Rea | Pharmacist | 780 Shadowridge Dr, Vista, CA 92083-7986 | 2008-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114496882 | Claire Louise Marsden | Speech-Language Pathologist | 1626 Fawley Lane, Vista, CA 92083 | 2018-11-24 |
| 1861975336 | Shawna Corn | Counselor | 216 W. Los Angeles Dr., Vista, CA 92083 | 2018-09-11 |
| 1164916433 | Sindia Zamarripa | Case Manager/Care Coordinator | 139 East Dr, Vista, CA 92083 | 2018-06-19 |
| 1184140295 | Rosa Gema Pamatz | Counselor | 216 West Los Angeles Dr, Vista, CA 92083 | 2017-08-21 |
| 1528452521 | Vincetta Cox | Nursing Care | 770 Sycamore Avenue, 122-178, Vista, CA 92083 | 2015-03-27 |
| 1922367739 | Oriental Medical Arts & Acupuncture | Acupuncturist | 544 W Vista Way, Vista, CA 92083 | 2012-05-14 |
| 1861623001 | Dawn Lindshield | Counselor | 550 W Vista Way Ste 408, Vista, CA 92083 | 2009-08-06 |
| 1932336534 | Amyjane Dill | Student in an Organized Health Care Education/Training Program | 216 W Los Angeles Drive, New Haven Youth Family Services, Vista, CA 92083 | 2009-06-22 |
| 1821239054 | Marisela Wong | Pharmacist | 1510 N. Santa Fe Avenue, Vista, CA 92083 | 2009-03-18 |
| 1235389602 | Erik Sven Peterson | Counselor | 155 W. Bobier, Vista, CA 92083 | 2008-09-23 |
| Find all providers in zip 92083 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275739740 | Marcia Rose Weinstein | Registered Nurse | 780 Showridge Dr, Vista, CA 92083 | 2007-06-22 |
| 1225645799 | Jenney Hall | Registered Nurse | 550 W Vista Way Ste 204, Vista, CA 92083-5736 | 2020-09-28 |
| 1154516144 | Mary Jean Olds | Registered Nurse | 550 W Vista Way Ste 407, Vista, CA 92083-5714 | 2007-09-12 |
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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.