SUSAN IRICK (NPI# 1407891518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407891518 |
| Entity Type | Individual |
| Full Name | SUSAN IRICK |
| Credential | NP |
| Practice Address |
1475 Jesse Jewell Pkwy Ne Ste 300 Gainesville GA 30501-3806 |
| Practice Telephone | 6784303110 |
| Mailing Telephone | 6784303110 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN064849 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1475 JESSE JEWELL PKWY NE STE 300 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760484562 | Masih Uddin | Internal Medicine | 1475 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 | 2005-08-11 |
| 1770124901 | Ashlyn Coffey Smith | Physician Assistant | 1475 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3806 | 2019-09-29 |
| 1720643737 | Tasneem Uzma Huda | Physician Assistant | 1475 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3806 | 2019-05-06 |
| 1871018275 | Kelsey Alden Newberry | Physician Assistant | 1475 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 | 2017-08-07 |
| 1386069557 | Vivak Patel | Internal Medicine | 1475 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3806 | 2014-02-25 |
| 1649619008 | Peggy Dawn Eckler | Nurse Practitioner | 1475 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 | 2013-06-19 |
| 1497902084 | Abhijit Ghatak | Internal Medicine | 1475 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3806 | 2008-08-26 |
| 1982888194 | Melissa M Gonzalez | Physician Assistant | 1475 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3806 | 2007-12-24 |
| 1689893927 | Saurabh Dhawan | Internal Medicine | 1475 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3806 | 2007-04-25 |
| 1912985052 | Salman Ashfaq | Internal Medicine | 1475 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3806 | 2006-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412242 | Candace K Hall | Nurse Practitioner | 6810 Mandalay Ct, Gainesville, VA 20155-4493 | 2020-06-22 |
| 1164072591 | Mary Katherine Bridges | Nurse Practitioner | 316 Foothills Pkwy Ne, Gainesville, GA 30501-3839 | 2019-09-17 |
| 1124676622 | Desislava Cooper | Nurse Practitioner | 1143 Nw 89th Dr, Gainesville, FL 32606-7116 | 2019-08-28 |
| 1053883223 | Lisa Annette Wisemen | Nurse Practitioner | 3611 Sw 34th St Apt 46, Gainesville, FL 32608-2577 | 2018-12-27 |
| 1235600362 | Marie Lyse Dufresne-dixon | Nurse Practitioner | 1515 Sw Archer Rd Apt C27, Gainesville, FL 32608-1134 | 2018-12-16 |
| 1427551506 | Melinda Holder Phillips | Nurse Practitioner | 1600sw Archer Rd, Gainesville, FL 32610-0001 | 2018-03-14 |
| 1669992921 | Amanda Kaye Elizabeth Croft | Nurse Practitioner | Po Box 100186, Gainesville, FL 32610-0186 | 2017-06-27 |
| 1033642210 | Dironada Gross Strange | Nurse Practitioner | Po Box 100108, Gainesville, FL 32610-0001 | 2017-04-05 |
| 1124565031 | Shannon Eileen Katilus Makovic | Nurse Practitioner | Department of Pediatrics Neonatology, Box 100296, Gainesville, FL 32610-0296 | 2017-01-30 |
| 1770997306 | Jordan Knowlton | Nurse Practitioner | 1600 Sw Archer Rd # 100371, Gainesville, FL 32610-3003 | 2014-06-11 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.