SUSAN L PEARSON (NPI# 1417195660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417195660 |
| Entity Type | Individual |
| Full Name | SUSAN L PEARSON |
| Credential | LMP |
| Practice Address |
12263 N. Mill Street Clearlake WA 98284 |
| Mailing Address |
P.o Box 123 Clearlake WA 98235-0123 |
| Practice Telephone | 3608561528 |
| Mailing Telephone | 3608561528 |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA000-25403 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992041115 | Susan Dean Pearson | Nutritionist | 4629 Calvin Dr, Corpus Christi, TX 78411-2814 | 2012-12-15 |
| 1295715464 | Susan Teggatz Pearson | Psychologist | 289 N Sycamore St, Newtown, PA 18940-1514 | 2006-01-22 |
| 1942799796 | Susan Brandenburg Pearson | Physical Therapist | 11010 David St Ste A, Gulfport, MS 39503-3481 | 2018-05-08 |
| 1871046862 | Susan Pearson | Psychologist | 600 W Santa Ana Blvd, Suite 510, Santa Ana, CA 92701-4558 | 2016-07-26 |
| 1053585695 | Susan Kay Pearson | Speech-Language Pathologist | 10610 Main St, Hayward, WI 54843-6595 | 2008-04-15 |
| 1154449585 | Susan Margaret Pearson | Dentist | 1131 University Blvd W, 103, Silver Spring, MD 20902-3357 | 2007-03-26 |
| 1245289511 | Susan M Pearson | Family Medicine | 8195 Highway 789, Lander, WY 82520-2942 | 2006-05-06 |
| 1700864287 | Susan E Pearson | Family Medicine | 1321 Colby Ave, Medical Staff Office, Everett, WA 98201-1665 | 2006-01-05 |
| 1821072703 | Susan E Pearson | Otolaryngology | 1025 Marsh St, Mankato, MN 56001-4752 | 2005-12-03 |
| Street Address |
12263 N. MILL STREET |
| City | CLEARLAKE |
| State | WA |
| Zip Code | 98284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138994 | Matthew Thomas Schaeffer | Counselor | 1690 Thompson Drive, Sedro Woolley, WA 98284 | 2020-09-09 |
| 1841852407 | Melissa Lynn Rose | Licensed Practical Nurse | Pcn, 1960 Thompson Dr, Sedro Wooley, WA 98284 | 2019-07-03 |
| 1730742842 | Joseph Q Elder | Counselor | 1803 North Sound Drive, Sedro Woolley, WA 98284 | 2019-04-16 |
| 1336610575 | John Allan Roeder II | Pharmacist | 320 Harrison St., Sedro-woolley, WA 98284 | 2018-12-16 |
| 1861931107 | Stacy Lee Chambers | Counselor | 1906 Thompson Drive, Sedro Woolley, WA 98284 | 2017-02-20 |
| 1033657309 | Carol Totten | Social Worker | 1960 Thompson Dr., Sedro-woolley, WA 98284 | 2017-02-07 |
| 1639414345 | Shannon L Moore | Licensed Practical Nurse | 1235 3rd Street, Sedro-woolley, WA 98284 | 2012-12-06 |
| 1013210111 | Ashley L Shaner | Physical Therapist | 709 Cook Rd, Sedro Woolley, WA 98284 | 2010-12-10 |
| 1093950883 | Tamara Lyn Stone | Massage Therapist | 460 Hilltop Drive, Sedro Woolley, WA 98284 | 2008-12-08 |
| 1497900401 | Cory Lynn Sanchez | Massage Therapist | 639 Sunset Park Drive, Sedro Woolley, WA 98284 | 2008-11-19 |
| Find all providers in zip 98284 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033444336 | Sharon Lee Mcpherson Widen | Massage Therapist | 23369 Pringle Street, Pob 52, Clearlake, WA 98235-0052 | 2009-10-05 |
| 1497965925 | Shonie Dannette Shanes | Massage Therapist | 12263 North Mill Street, Clearlake, WA 98235 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346177 | Franco Garibaldi | Massage Therapist | 8120 378th Ave Se, Snoqualmie, WA 98065-9338 | 2020-11-06 |
| 1073114815 | Michael Paul Frietze | Massage Therapist | 519 Sw Cascade Ave, Chehalis, WA 98532-3213 | 2020-11-06 |
| 1417558305 | Madelyn Leigh Thomas | Massage Therapist | 2202 6th Ave, Tacoma, WA 98403-1049 | 2020-11-05 |
| 1912508094 | Catelyn Renee Wesley | Massage Therapist | 211 Marty Loop, Woodland, WA 98674-7223 | 2020-11-04 |
| 1154922250 | Wanju S Kellams | Massage Therapist | 677 Woodland Square Loop Se # A-8, Lacey, WA 98503-1000 | 2020-11-04 |
| 1417558743 | Erin Claire Stafford | Massage Therapist | 709 Nw 120th St, Vancouver, WA 98685-2495 | 2020-11-03 |
| 1063013332 | Andrea L Yu | Massage Therapist | 7207 265th St Nw Ste 102, Stanwood, WA 98292-6274 | 2020-11-03 |
| 1689274250 | Francine Marie Morales | Massage Therapist | 1320 Worrall Dr, Bremerton, WA 98310-3629 | 2020-10-31 |
| 1255931994 | Lotus Lounge Corporation | Massage Therapist | 200 Auburn Ave Ste 3, Auburn, WA 98002-5015 | 2020-10-30 |
| 1538769088 | Alison K Rostholder-harris | Massage Therapist | 1202 E Pine St Unit 101, Seattle, WA 98122-3929 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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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.