SUSANNA ELIZABETH BLOSS (NPI# 1477802775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477802775 |
| Entity Type | Individual |
| Full Name | SUSANNA ELIZABETH BLOSS |
| Credential | NP |
| Practice Address |
3600 Gates Blvd Port Arthur TX 77642-3858 |
| Mailing Address |
200 Corporate Blvd Suite 201 Lafayette LA 70508-3870 |
| Practice Telephone | 8008939698 |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 713213 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3600 GATES BLVD |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77642-3858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811966310 | Port Arthur Pathology Association | Pathology | 3600 Gates Blvd, Port Arthur, TX 77642 | 2006-03-16 |
| 1447756580 | Precise Telehealth of Texas Pllc | General Practice | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2018-04-05 |
| 1679025118 | Melissa Ballard | Nurse Practitioner | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2016-11-01 |
| 1083088389 | Solitude Emergency Physicians, Pllc | Physician Assistant | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2015-11-24 |
| 1346614294 | Country Road Emergency Physicians, Pllc | Physician Assistant | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2015-11-16 |
| 1114312576 | Brandy Kotz | Nurse Practitioner | 3600 Gates Blvd, Emergency Room, Port Arthur, TX 77642-3858 | 2015-04-02 |
| 1871916528 | Gates Blvd Emergency Physicians Pllc | Emergency Medicine | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2014-01-31 |
| 1467875641 | Texas Em-i Medical Services Pa | Physician Assistant | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2014-01-24 |
| 1598108854 | Bhatt, Mayoor | General Acute Care Hospital | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2013-04-16 |
| 1295007862 | Ivan Omari | Pharmacist | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2012-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1912547746 | Port Arthur Surgical Center, LLC | Clinic/Center | 3919 Twin City Hwy, Port Arthur, TX 77642 | 2020-01-09 |
| 1538533906 | Carolyn Williams | Nurse Practitioner | 8333 9th Ave Ste A, Port Arthur, TX 77642 | 2015-11-22 |
| 1003295312 | Peacock Heavenly Massage | Massage Therapist | 3800 Hwy 365, Regional Square, Port Arthur, TX 77642 | 2015-05-20 |
| 1346651718 | Bunrith Koy | Family Medicine | 3620 East Farm To Market Road 365, Port Arthur, TX 77642 | 2014-05-19 |
| 1679896534 | Jared Clark Mallory | Physical Therapist | 3398 25th Street, Port Arthur, TX 77642 | 2010-03-08 |
| 1750564902 | Isam N. Anabtawi | Family Medicine | 1750 9th Ave., Suite 202, Port Arthur, TX 77642 | 2007-12-11 |
| 1710179445 | Marian Tan Medical Group Ltd LLP | Pediatrics | 3220 Central Mall Drive, Port Arthur, TX 77642 | 2007-08-16 |
| 1497952253 | Waheeda Mithani | Surgery | 3820 Hwy. 365, Suite 200, Port Arthur, TX 77642 | 2007-06-27 |
| 1295939015 | Pamela Spencer Albacete | Speech-Language Pathologist | 7200 9th Ave., Port Arthur, TX 77642 | 2007-06-14 |
| Find all providers in zip 77642 | ||||
| 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 |
|---|---|---|---|---|
| 1255965752 | Linda Tran | Nurse Practitioner | 7600 Springmeadow Ln, Port Arthur, TX 77642-6550 | 2020-02-24 |
| 1578947552 | Jessica Marie Valka | Nurse Practitioner | 2001 9th Ave Ste 102, Port Arthur, TX 77642-2704 | 2015-07-19 |
| 1992789630 | Beverly A St Julien | Nurse Practitioner | 3705 9th Ave, Port Arthur, TX 77642-4423 | 2005-12-06 |
| 1851934079 | Mary Ryan Tinnel | Nurse Practitioner | 1946 9th Ave, Port Arthur, TX 77642-2762 | 2019-10-21 |
| 1649764168 | Denise Craig | Nurse Practitioner | 8455 9th Ave Ste A, Port Arthur, TX 77642-8021 | 2018-06-18 |
| 1417456500 | Courtney Beth Keeney | Nurse Practitioner | 2875 Jimmy Johnson Blvd Ste 100, Port Arthur, TX 77640-2002 | 2018-02-05 |
| 1447767819 | Shannon Huebel Keith | Nurse Practitioner | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2018-01-06 |
| 1972930840 | Pro Med Providers LLC | Nurse Practitioner | 2001 9th Ave, Suite 102, Port Arthur, TX 77642-2701 | 2013-10-08 |
| 1437499522 | Chau My Tran | Nurse Practitioner | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2013-02-26 |
| 1780920249 | Reginald W Savoie | Nurse Practitioner | 2001 9th Ave, Suite 102, Port Arthur, TX 77642-2701 | 2013-01-02 |
| Find all providers in PORT ARTHUR | ||||
| City | PORT ARTHUR |
| Zip Code | 77642 |
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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.