MRS. SUSANNA JOY KING (NPI# 1578117206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578117206 |
| Entity Type | Individual |
| Full Name | MRS. SUSANNA JOY KING |
| Practice Address |
4160 Ocoee St N Ste 8 Cleveland TN 37312-4886 |
| Mailing Address |
Po Box 215 Etowah TN 37331-0215 |
| Practice Telephone | 4234644357 |
| Mailing Telephone | 4235060038 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946620 | Susanna Noel King | Nurse Practitioner | 1005 Dr Db Todd Jr Blvd, Nashville, TN 37208-3501 | 2020-09-12 |
| Street Address |
4160 OCOEE ST N STE 8 |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37312-4886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720301781 | Terra Dawn Mcgill | Counselor | 4160 Ocoee St N Ste 8, Cleveland, TN 37312-4886 | 2010-03-05 |
| 1760093975 | Daniel J Varela | Social Worker | 4160 Ocoee St N Ste 8, Cleveland, TN 37312-4886 | 2020-08-11 |
| 1720699200 | Kendal Emilyn Greiner | Marriage & Family Therapist | 4160 Ocoee St N Ste 8, Cleveland, TN 37312-4886 | 2020-08-10 |
| 1104442920 | Kayla Johns | Counselor | 4160 Ocoee St N Ste 8, Cleveland, TN 37312-4886 | 2020-06-17 |
| 1205459070 | Kylee Causey | Counselor | 4160 Ocoee St N Ste 8, Cleveland, TN 37312-4886 | 2020-05-27 |
| 1336762780 | Jonathan Guillermo Vega | Counselor | 4160 Ocoee St N Ste 8, Cleveland, TN 37312-4886 | 2020-05-20 |
| 1396367637 | Robert James England Jr. | Marriage & Family Therapist | 4160 Ocoee St N Ste 8, Cleveland, TN 37312-4886 | 2020-05-09 |
| 1073151155 | Adam Gregory Barfoot | Counselor | 4160 Ocoee St N Ste 8, Cleveland, TN 37312-4886 | 2019-12-19 |
| 1548819279 | Ivorie Nicole Mayes | Counselor | 4160 Ocoee St N Ste 8, Cleveland, TN 37312-4886 | 2019-09-05 |
| 1497301899 | Kathryn Elizabeth Cole | Counselor | 4160 Ocoee St N Ste 8, Cleveland, TN 37312-4886 | 2019-08-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
| 1922630870 | Samuel Anthony Pharr | Physical Therapist | 1090 Tasso Lane, Ne, Cleveland, TN 37312 | 2020-02-09 |
| 1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
| 1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
| 1053975243 | Christian Joy Mcgirt | Counselor | 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 | 2019-04-24 |
| 1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
| 1508342221 | Andre L James | Case Manager/Care Coordinator | 2600 Executive Drive, Cleveland, TN 37312 | 2018-07-16 |
| 1386152197 | Courtney Ferguson | Behavioral Analyst | 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 | 2018-01-15 |
| 1669992285 | Nurseprofessionals | Licensed Practical Nurse | 2901 Peerless Road, Cleveland, TN 37312 | 2017-06-24 |
| 1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
| Find all providers in zip 37312 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463862 | Kim El Haddad | Student in an Organized Health Care Education/Training Program | Cleveland Clinic Main Campus 9500 Euclid Avenue/na-23, Cleveland, OH 44195-0001 | 2020-09-29 |
| 1114531829 | Amanda Nicole Olevsky | Student in an Organized Health Care Education/Training Program | 1400 Parker Street, Cleveland, TN 37311-4566 | 2020-09-01 |
| 1295348431 | Brandi Williams | Student in an Organized Health Care Education/Training Program | 2200 Prospect Ave E, Cleveland, OH 44115-2673 | 2020-08-27 |
| 1487265625 | Rima Mayuresh Chaudhari | Student in an Organized Health Care Education/Training Program | Main Campus Cleveland Clinic 9500, Euclid Avenue Na-23, Cleveland, OH 44195-0001 | 2020-08-12 |
| 1134738263 | Alicia Lew | Student in an Organized Health Care Education/Training Program | 9501 Euclid Ave Rm 421q, Cleveland, OH 44106-4711 | 2020-07-24 |
| 1972112100 | Breandria Kamille Thompson | Student in an Organized Health Care Education/Training Program | Case Western Reserve University School of Medicine, Samson Pavilion 9501 Euclid Ave., Room 421q, Cleveland, OH 44106-7506 | 2020-07-23 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1003434507 | Ethan Jordan Lacourt | Student in an Organized Health Care Education/Training Program | 2082 Murray Hill Rd, Cleveland, OH 44106-2359 | 2020-07-10 |
| 1235757808 | Hinali Kirit Patel | Student in an Organized Health Care Education/Training Program | 10000 Lamont Ave Unit 12, Cleveland, OH 44106-4149 | 2020-07-10 |
| 1497376644 | Andrea Sisti | Student in an Organized Health Care Education/Training Program | 9500 Euclid Ave Bldg 6th Floor, Crile Building, Cleveland Clinic Main Campus, Dept of Plastic Surgery, Cleveland, OH 44195-0001 | 2020-04-29 |
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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.