SUSAN LYNN MCDANIEL (NPI# 1437410545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437410545 |
Entity Type | Individual |
Full Name | SUSAN LYNN MCDANIEL |
Credential | ANP |
Practice Address |
4900 Kelley Hwy Fort Smith AR 72904 |
Mailing Address |
9755 W. State Hwy 22 P.o Box 130 Ratcliff AR 72951 |
Practice Telephone | 4797855700 |
Practice Fax Number | 4797855708 |
Mailing Telephone | 4794312050 |
Mailing Fax Number | 4794312051 |
Enumeration Date | 2012-06-05 |
Last Update Date | 2020-10-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A03696 | AR | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467685610 | Susan Mcdaniel | Massage Therapist | 450 Pitt Ave, Sebastopol, CA 95472-3747 | 2009-09-03 |
1437568920 | Susan Mcdaniel | Registered Nurse | 13011 120th Ave, Ottumwa, IA 52501-8662 | 2014-08-08 |
1417185653 | Susan P. Mcdaniel | Marriage & Family Therapist | 1264 Higuera St, Suite 206, San Luis Obispo, CA 93401-3124 | 2009-06-25 |
1255592440 | Susan E Mcdaniel | Physical Therapy Assistant | 1550 Silveira Pkwy, San Rafael, CA 94903-4879 | 2008-06-19 |
1003874207 | Susan Holmes Mcdaniel | Psychologist | 777 S Clinton Ave, Rochester, NY 14620-1401 | 2006-05-04 |
Street Address |
4900 KELLEY HWY |
City | FORT SMITH |
State | AR |
Zip Code | 72904 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831184837 | Ronald D. Schlabach | Family Medicine | 4900 Kelley Hwy, Fort Smith, AR 72904-5000 | 2005-09-15 |
1679104228 | Rebecca Grace Kesner | Nurse Practitioner | 4900 Kelley Hwy, Fort Smith, AR 72904-5000 | 2020-02-03 |
1730665449 | Dusty Marie Carter | Nurse Practitioner | 4900 Kelley Hwy, Fort Smith, AR 72904-5000 | 2018-07-16 |
1477703973 | Laura A. Henson | Nurse Practitioner | 4900 Kelley Hwy, Fort Smith, AR 72904-5000 | 2008-09-22 |
1023270790 | Tracy Lynn Fisher | Nurse Practitioner | 4900 Kelley Hwy, Fort Smith, AR 72904-5000 | 2008-06-25 |
1609949163 | Midland Drug Inc. | Pharmacy | 4900 Kelley Hwy, Fort Smith, AR 72904-5000 | 2006-11-15 |
1619994316 | Wanda V Mcmicheal | Family Medicine | 4900 Kelley Hwy, Fort Smith, AR 72904-5000 | 2006-07-17 |
1477523215 | Laurie Fisher | Family Medicine | 4900 Kelley Hwy, Fort Smith, AR 72904-5000 | 2006-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871072751 | Baptist Health Services | Family Medicine | 4700 Kelley Hwy Ste A, Fort Smith, AR 72904 | 2018-08-10 |
1649799081 | Timothy Morris | Case Manager/Care Coordinator | 5900 Kinkead Ave 477, Fort Smith, AR 72904 | 2017-09-18 |
1326564980 | Lyndy Luree Raley | Speech-Language Pathologist | 3300 Harris Ave., Fort Smith, AR 72904 | 2017-08-16 |
1104175280 | Chelsea Beth Phillips Claybrook | Physical Therapy Assistant | 1801 South 74th St., Fort Smith, AR 72904 | 2012-09-05 |
1437408762 | Misty Denise Flemming | Physical Therapy Assistant | 4401 Yorkshire Dr., Fort Smith, AR 72904 | 2012-08-31 |
1831473321 | Rebecca Lynn Reif | Speech-Language Pathologist | 5100 Kelley Highway, Fort Smith, AR 72904 | 2011-10-03 |
1760542443 | Neill Hamilton Treece | Dentist | 1528 No 39th, Fort Smith, AR 72904 | 2006-12-11 |
1285690842 | Fort Smith Home Health Agency Inc | Home Infusion | 220 N 12th Street, Ft Smith, AR 72904 | 2006-04-24 |
1659850329 | Baptist Health Services | Internal Medicine | 4700 Kelley Hwy Ste B, Fort Smith, AR 72904 | 2018-08-13 |
1316129711 | Denise Valentin | Nurse Practitioner | 4020 Newlon Rd, Fort Smith, AR 72904-2111 | 2007-11-28 |
Find all providers in zip 72904 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861018350 | Lacey Deshay Kennon | Nurse Practitioner | 7509 Red Pine Dr, Fort Smith, AR 72916-8809 | 2020-06-19 |
1275174518 | Michele Holland | Nurse Practitioner | 3300 S 70th St, Fort Smith, AR 72903-5052 | 2019-10-07 |
1831740125 | Shannan Deann Souza | Nurse Practitioner | 5901 Riley Park Dr Ste B, Fort Smith, AR 72916-6104 | 2019-09-27 |
1851948640 | Mindy Lebarr | Nurse Practitioner | 4850 Leigh Ave, Fort Smith, AR 72903-6018 | 2019-08-26 |
1457899338 | Ai-chau Hang Nguyen | Nurse Practitioner | 5428 Ellsworth Rd, Fort Smith, AR 72903-3220 | 2017-02-10 |
1558715987 | Amanda Day | Nurse Practitioner | 9207 Highway 71 S Ste 9, Fort Smith, AR 72916-9389 | 2016-04-21 |
1659738250 | Dana Kim Pulliam | Nurse Practitioner | 301 S E St Ste A, Fort Smith, AR 72901-4316 | 2016-01-27 |
1356716963 | Julie Rowland | Nurse Practitioner | 5100 Rosewood Cir, Fort Smith, AR 72903-7000 | 2015-12-08 |
1770712275 | Amy Marie Brown | Nurse Practitioner | 7001 Rogers Ave Ste 401a, Fort Smith, AR 72903-4034 | 2009-07-07 |
1356502710 | Jacqueline Goldsmith Phillips | Nurse Practitioner | 7215 Cameron Park Dr, Fort Smith, AR 72903-6167 | 2008-06-18 |
Find all providers in FORT SMITH |
City | FORT SMITH |
Zip Code | 72904 |
Please comment or provide details below to improve the information on SUSAN LYNN MCDANIEL.
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.