SUSAN ME'CHELLE OLIVER (NPI# 1548874159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548874159 |
| Entity Type | Individual |
| Full Name | SUSAN ME'CHELLE OLIVER |
| Credential | PMHNP-BC |
| Practice Address |
874 Barnes Crossing Road Tupelo MS 38804 |
| Practice Telephone | 6628918091 |
| Practice Fax Number | 6625100216 |
| Mailing Telephone | 6628918091 |
| Mailing Fax Number | 6625100216 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
903952 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285103747 | Susan Keyton Oliver | Nurse Practitioner | 290 Donovan Harrison Rd, Wrightsville, GA 31096-5045 | 2018-11-14 |
| 1033693106 | Susan Arnold Oliver | Social Worker | 2 Oakstone Way, Westport, MA 02790-4338 | 2018-09-24 |
| 1003317868 | Susan Annette Oliver | Massage Therapist | 220 Broad St Ste 203, Kingsport, TN 37660-4245 | 2018-02-26 |
| 1629466057 | Susan Claudette Oliver | Counselor | 1205 Bentwater Pkwy, Granbury, TX 76049-5581 | 2015-01-08 |
| 1912442260 | Susan Ann Oliver | Counselor | 5210 Belfort Rd, Suite 200, Jacksonville, FL 32256-6024 | 2016-12-22 |
| 1578729562 | Susan Jane Oliver | Psychiatry & Neurology | 767 Pearl St, Suite 220, Boulder, CO 80302-5061 | 2008-07-30 |
| 1669502522 | Susan Leanne Oliver | Nurse Practitioner | 2510 Limestone Pkwy, Gainesville, GA 30501-2089 | 2007-03-07 |
| 1336289321 | Susan Oliver | Nurse Practitioner | 3760 Piper Street, Suite 1087, Anchorage, AK 99504 | 2007-02-07 |
| Street Address |
874 BARNES CROSSING ROAD |
| City | TUPELO |
| State | MS |
| Zip Code | 38804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| 1699020875 | Benton Mcinnis Hilbun Sr. | Surgery | 1001 Debeau Drive, Tupelo, MS 38804 | 2012-07-13 |
| Find all providers in zip 38804 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710532668 | Sondra Bennett Pmhnp-bc LLC | Nurse Practitioner | 144 S Thomas St Ste 207, Tupelo, MS 38801-5337 | 2019-08-07 |
| 1891353413 | Jennifer Warren Pmhnp-bc LLC | Nurse Practitioner | 315 Magazine St Ste D, Tupelo, MS 38804-3974 | 2019-05-29 |
| 1548783509 | Ashley Cooper | Nurse Practitioner | 499 Gloster Creek Vlg Ste A-3, Tupelo, MS 38801-4600 | 2017-07-21 |
| 1356707400 | Jennifer K Warren | Nurse Practitioner | 315 Magazine St Ste C, Tupelo, MS 38804-4802 | 2016-01-05 |
| 1750416905 | Lisa Theresa Lippincott | Nurse Practitioner | 210 E Main St Ste D, Tupelo, MS 38804-4017 | 2007-02-21 |
| 1275182818 | Andrea Paige Pounds | Nurse Practitioner | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2019-09-06 |
| 1710532239 | Sabrina Hurd Hall | Nurse Practitioner | 1937 Briar Ridge Rd, Tupelo, MS 38804-5963 | 2019-08-02 |
| 1023572294 | Colby Ponder | Nurse Practitioner | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2019-01-22 |
| 1730656422 | Emily L Mccormac | Nurse Practitioner | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2018-10-31 |
| 1790138873 | Katherine E Ederer | Nurse Practitioner | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2016-07-13 |
| Find all providers in TUPELO | ||||
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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.