SUSAN TINA WALDT (NPI# 1417103771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417103771 |
| Entity Type | Individual |
| Full Name | SUSAN TINA WALDT |
| Credential | LPN |
| Practice Address |
512 Rosewood Road Syracuse NY 13209 |
| Practice Telephone | 3154910181 |
| Mailing Telephone | 3154910181 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 270162-1 | NY | Nursing Service Providers |
| Street Address |
512 ROSEWOOD ROAD |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669938676 | Tammy Theresa Lamanna | Licensed Practical Nurse | 313 Snowdale Drive, Syracuse, NY 13209 | 2019-02-14 |
| 1306313531 | Kseniya Alekseyevna Lueck | Student in an Organized Health Care Education/Training Program | 890 State Fair Blvd, Syracuse, NY 13209 | 2018-10-25 |
| 1699051144 | Cheryl L. Birkmier | Speech-Language Pathologist | 600 Gertrude Ave., Solvay High School, Solvay, NY 13209 | 2011-10-28 |
| 1346564085 | Kathy Smith | Licensed Practical Nurse | 126 Hosmer Drive, Syracuse, NY 13209 | 2010-03-24 |
| 1932288222 | West Side Physical Therapy, PC | Clinic/Center | 315 Bridge St, Solvay, NY 13209 | 2006-11-06 |
| 1912099821 | Suzanne M Skibinski | Physical Therapist | 315 Bridge St, Solvay, NY 13209 | 2006-09-28 |
| 1336231240 | Debra Ann Donohue | Physical Therapist | 315 Bridge St, Solvay, NY 13209 | 2006-09-28 |
| 1669564589 | Caryn Lindsay Baker | Physical Therapist | 315 Bridge St, Solvay, NY 13209 | 2006-09-28 |
| 1982872669 | Medisource Management, LLC | Durable Medical Equipment & Medical Supplies | 145 Dwight Park Cir, Syracuse, NY 13209-1005 | 2008-02-14 |
| 1356770556 | Lisa Schepper | Registered Nurse | 332 Long Branch Rd, Syracuse, NY 13209-1008 | 2013-11-07 |
| Find all providers in zip 13209 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927848 | Gwendolyn Jane Thomas | Licensed Practical Nurse | 139 Hayden Ave, Syracuse, NY 13204-1509 | 2020-09-17 |
| 1780200758 | Stacey R Green | Licensed Practical Nurse | 707 Meadowbrook Dr, Syracuse, NY 13210-3113 | 2020-06-24 |
| 1033743539 | Mindy Joy Cottrell | Licensed Practical Nurse | 515 Florida Rd, Syracuse, NY 13211-1220 | 2020-02-24 |
| 1205474772 | Mary Kresser | Licensed Practical Nurse | 214 Lafayette Rd, Syracuse, NY 13205-2921 | 2019-12-16 |
| 1528602166 | Rebecca Anne Snyder | Licensed Practical Nurse | 510 Greenwood Pl, Syracuse, NY 13210-2526 | 2019-11-06 |
| 1386286094 | Wendolyn Alicia White | Licensed Practical Nurse | 304 Martin Luther King W, Syracuse, NY 13205-1023 | 2019-10-14 |
| 1609423516 | Kortia Poole | Licensed Practical Nurse | 4574 Onondaga Blvd Apt 38, Syracuse, NY 13219-3308 | 2019-08-25 |
| 1649822826 | Tyrone Lamont Hunter | Licensed Practical Nurse | 620 Erie Blvd W Ste 620erie, Syracuse, NY 13204-2445 | 2019-07-09 |
| 1265099378 | Trina Leigh-marie Stearns | Licensed Practical Nurse | 525 Mosley Drive, Syracuse, NY 13206 | 2019-05-23 |
| 1699339242 | Gia Ruffini | Licensed Practical Nurse | 212 South Terry Rd., Syracuse, NY 13219 | 2019-04-30 |
| Find all providers in SYRACUSE | ||||
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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.