MRS. SUSAN DIANE DEVINE (NPI# 1467653162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467653162 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN DIANE DEVINE |
| Credential | T.V.I. |
| Practice Address |
812 Wrenwood Dr Bowling Green KY 42103-1582 |
| Practice Telephone | 2707797564 |
| Practice Fax Number | 2708426011 |
| Mailing Telephone | 2707797564 |
| Mailing Fax Number | 2708426011 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | VISION CERTIFICA | TN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588008924 | Susan Marie Wish Devine | Counselor | 5899 Sunnybrook Ln, Mound, MN 55364-1280 | 2013-04-27 |
| 1518986827 | Susan Robertson Devine | Specialist | 4403 6th St, Lubbock, TX 79416 | 2006-07-18 |
| 1346762127 | Susan Lori Devine | Nurse Practitioner | 316 N 3rd St, Hamilton, MT 59840-2480 | 2017-07-12 |
| 1376973826 | Susan Devine | Technician/Technologist | 7960 W Rifleman St, #155, Boise, ID 83704-9064 | 2013-11-20 |
| 1831312578 | Susan Marie Devine | Nurse Practitioner | 150 E Tyson Road, Quartzsite, AZ 85346 | 2007-04-11 |
| 1467590679 | Susan J Devine | Optometrist | 44 Prospect Hill Rd, East Windsor, CT 06088-9501 | 2007-02-01 |
| 1770648248 | Susan E Devine | Clinical Nurse Specialist | 34 Park St, Connecticut Mental Health Center, New Haven, CT 06519 | 2006-12-26 |
| 1629140371 | Susan H. Devine | Pediatrics | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-15 |
| Street Address |
812 WRENWOOD DR |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103-1582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
| Find all providers in zip 42103 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1023423357 | Commonwealth Surgical Services, LLC | Specialist | 1945 Scottsville Rd B2 Pmb137, Bowling Green, KY 42104-3376 | 2014-06-25 |
| 1013226679 | Brandy Leticia Adams | Specialist | 349 Brighton Ave, Bowling Green, KY 42101-9087 | 2010-09-30 |
| 1164666194 | Lauren Michelle Daniels | Specialist | 237 Red Elm Ln, Bowling Green, KY 42101-7531 | 2009-04-21 |
| 1164620316 | Tfc Physical Therapy, Pllc | Specialist | 542 Three Springs Rd, Bowling Green, KY 42104-7589 | 2007-07-10 |
| 1972700342 | William A. Schwank, M.d. | Specialist | 1890 Lyda Ave Ste 101, Bowling Green, KY 42104-5829 | 2007-06-29 |
| 1730219429 | Lisa Renee Murphy | Specialist | 104 E. 14th St., Bowling Green, KY 42101 | 2007-03-06 |
| 1770626731 | Cherylan J. Franke | Specialist | 1013 Shive Ln, # 64, Bowling Green, KY 42103-8003 | 2007-02-15 |
| 1467556845 | James T. Bergin, Md Psc | Specialist | 720 Second St, Ste 201, Bowling Green, KY 42101-1778 | 2006-09-07 |
| 1952314007 | Manuel Robert Perez | Specialist | 1711 Ashley Cir, Suite 7 and 8, Bowling Green, KY 42104-5801 | 2006-08-13 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42103 |
Please comment or provide details below to improve the information on MRS. SUSAN DIANE DEVINE.
| 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.