SUSAN ROSE PORTER (NPI# 1487958633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487958633 |
| Entity Type | Individual |
| Full Name | SUSAN ROSE PORTER |
| Credential | HIS |
| Practice Address |
2617 N Knoxville Ave Peoria IL 61604-3623 |
| Practice Telephone | 3096850887 |
| Practice Fax Number | 3096850891 |
| Mailing Telephone | 3096850887 |
| Mailing Fax Number | 3096850891 |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 2007 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609402866 | Susan Porter | Social Worker | 509 N Elam Ave Ste 3e, Greensboro, NC 27403-1129 | 2020-03-19 |
| 1841546520 | Susan Carole Porter | Spec/Tech, Pathology | 550 Sixth Av N, Wolf Point, MT 59201-0729 | 2012-07-31 |
| 1295044915 | Susan L Porter | Registered Nurse | 289 Miller Rd, Preston, CT 06365-8533 | 2010-09-29 |
| 1962713628 | Susan Porter | Counselor | 5570 W Mine Trl, Phoenix, AZ 85083-9326 | 2010-06-28 |
| 1063628519 | Susan Renee Porter | Social Worker | 4231 Shenandoah Ave, Saint Louis, MO 63110-3512 | 2007-05-14 |
| 1033244561 | Susan Porter | Pharmacist | Highway 77 75, Winnebago, NE 68071-0767 | 2007-02-23 |
| 1508824053 | Susan Elizabeth Porter | Pathology | 6777 Engle Rd, Ste N, Middleburg Heights, OH 44130-7941 | 2006-05-03 |
| 1982102273 | Susan Porter | Social Worker | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2018-02-01 |
| 1447486394 | Susan Marie Porter | Counselor | 1540 E Colorado St, Glendale, CA 91205-1514 | 2009-06-05 |
| 1306095682 | Susan Marie Porter | Audiologist | 1618 Gunbarrel Rd Ste 102, Chattanooga, TN 37421 | 2008-09-11 |
| Street Address |
2617 N KNOXVILLE AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61604-3623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447379888 | Regniers Hearing Aid Service Inc | Audiologist-Hearing Aid Fitter | 2617 N Knoxville Ave, Peoria, IL 61604-3623 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205357928 | Nydia I Rodriguez | Nurse's Aide | 3305 N Finnell Ave, Peoria, IL 61604 | 2017-07-03 |
| 1720327976 | Brin Diagnostics Inc. | Clinical Medical Laboratory | 3216 W Kenwood, West Peoria, IL 61604 | 2013-02-07 |
| 1225373715 | Ngocyen Thi Ngo | Pharmacist | 2515 N Knoxville Avenue, Peoria, IL 61604 | 2012-12-10 |
| 1194027003 | Schelly Chiropractic, Inc | Chiropractor | 1208 W Loucks, Peoria, IL 61604 | 2010-11-29 |
| 1770755852 | Dental Sealants & More | Dentist | 2126 N. University St., Peoria, IL 61604 | 2008-03-28 |
| 1821266123 | David L Krick | Dentist | 2022 N University, Peoria, IL 61604 | 2008-02-20 |
| 1568658409 | Advanced Physicians Health Care, S.c. | Chiropractor | 1200 West Loucks Ave, Peoria, IL 61604 | 2007-09-24 |
| 1902006000 | Noel Liu | Dentist | 3127 N. University St., Unit C, Peoria, IL 61604 | 2007-07-18 |
| 1568586386 | Susan B Bordenave-bishop | Dentist | 2116 N. Sheridan, Peoria, IL 61604 | 2007-03-19 |
| 1174689897 | Paul Anthony Amodeo | Dentist | 3100 N Dries Lane, Suite 301, Peoria, IL 61604 | 2006-12-28 |
| Find all providers in zip 61604 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679000772 | Kyle Mcclintock | Hearing Instrument Specialist | 7800 N Sommer St Ste 305, Peoria, IL 61615-1994 | 2017-05-19 |
| 1770984122 | Clear Choice Hearing Solutions, LLC | Hearing Instrument Specialist | 7717 W Deer Valley Rd Ste 130, Peoria, AZ 85382-2102 | 2014-09-04 |
| 1679827315 | Derrick Heflin | Hearing Instrument Specialist | 5401 N Knoxville Ave Ste 116, Peoria, IL 61614-5011 | 2012-11-02 |
| 1386992618 | Carrie Marie Pavell | Hearing Instrument Specialist | 9451 N 99th Ave, Suite 1, Peoria, AZ 85345-6999 | 2012-08-16 |
| 1548516750 | Lyndsey Kay Buchanan | Hearing Instrument Specialist | 9133 W Thunderbird Rd, Peoria, Peoria, AZ 85381-4267 | 2012-07-25 |
| 1811200827 | Michael David Mccormack | Hearing Instrument Specialist | 4016 N Prospect Road, Peoria, IL 61614 | 2010-07-19 |
| 1184893240 | Paul Mulholland | Hearing Instrument Specialist | 3809 N Sterling Ave, Suite 107, Peoria, IL 61615-4246 | 2008-02-22 |
| 1841493947 | Maryvale Hearing Aid Center Inc | Hearing Instrument Specialist | 11361 N 99th Ave Ste 105, Peoria, AZ 85345-5469 | 2007-06-06 |
| 1538796610 | Ramon Manuel Huerta | Hearing Instrument Specialist | 4627 N University St, Peoria, IL 61614-5828 | 2020-03-26 |
| 1558839035 | Heart of Illinois Hearing LLC | Hearing Instrument Specialist | 5401 N Knoxville Ave Ste 116, Peoria, IL 61614-5011 | 2018-11-02 |
| Find all providers in PEORIA | ||||
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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.