SUSAN TEETS (NPI# 1518085588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518085588 |
| Entity Type | Individual |
| Full Name | SUSAN TEETS |
| Credential | RNFA |
| Practice Address |
1723 Braodway Suite 410 Cape Girardeau MO 63701-4556 |
| Mailing Address |
Po Box 1329 Cape Girardeau MO 63702-1329 |
| Practice Telephone | 5733391957 |
| Practice Fax Number | 5733399709 |
| Mailing Telephone | 5733391957 |
| Mailing Fax Number | 5733399709 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
021454 | MO | Nursing Service Providers |
| Street Address |
1723 BRAODWAY SUITE 410 |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-4556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466196 | Esteban Teran | Registered Nurse | 915 N Grand Blvd Ofc, Saint Louis, MO 63106-1621 | 2020-08-06 |
| 1427514900 | Morgan Slack | Registered Nurse | 4855 Colony Church Rd Apt 9, Saint Louis, MO 63129-1156 | 2019-02-20 |
| 1972068005 | Emily Baldwin | Registered Nurse | 970 Northwyck Dr, Liberty, MO 64068-3353 | 2019-02-03 |
| 1477094670 | Jerri Klein | Registered Nurse | 1008 County Road 32b, Ironton, MO 63650-7553 | 2017-03-20 |
| 1508278730 | Secil Schodroski | Registered Nurse | 9717 Landmark Parkway Dr Ste 115, Saint Louis, MO 63127-1662 | 2014-05-22 |
| 1598188906 | Tyra Shari Walls | Registered Nurse | 911 Locust St Apt 405, Saint Louis, MO 63101-1446 | 2014-01-22 |
| 1871925396 | Elizabeth Courtny Munger | Registered Nurse | 296 Bolton Dr Apt C, Ballwin, MO 63011-5005 | 2013-08-07 |
| 1821336108 | Jeffrey Keith Hampton | Registered Nurse | 30380 Grandview Rd, Warrenton, MO 63383-4585 | 2013-01-22 |
| 1215126826 | Cherian George Malipurathu | Registered Nurse | 1707 E 59th Ter, Kansas City, MO 64110-3549 | 2007-10-19 |
| 1588796510 | Darlene Marie Saxe | Registered Nurse | 521 N Broadview Ct, Columbia, MO 65201-6931 | 2007-03-13 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
Please comment or provide details below to improve the information on SUSAN TEETS.
| 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.