SUSAN ELAINE COTTON (NPI# 1588938005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588938005 |
| Entity Type | Individual |
| Full Name | SUSAN ELAINE COTTON |
| Credential | C.M.F.,C.O.F |
| Practice Address |
4975 Sonoma Hwy Santa Rosa CA 95409-4240 |
| Practice Telephone | 7075395151 |
| Practice Fax Number | 7075397145 |
| Mailing Telephone | 7075395151 |
| Mailing Fax Number | 7075397145 |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 224900000X | Mastectomy Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4975 SONOMA HWY |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95409-4240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720137649 | Sonoma Surgical A Corp | Durable Medical Equipment & Medical Supplies | 4975 Sonoma Hwy, Santa Rosa, CA 95409-4240 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568005205 | Angela Tejeda | Counselor | 35555 Sonoma Hwy, Santa Rosa, CA 95409 | 2019-10-25 |
| 1609335314 | Heidi Diebel | Marriage & Family Therapist | 9291 Oak Trail Cir, Santa Rosa, CA 95409 | 2019-03-13 |
| 1427525328 | Christopher William Schouest | Behavioral Analyst | 5424 Sharon St., Santa Rosa, CA 95409 | 2018-10-29 |
| 1194178756 | Ana Ceniceros | Registered Nurse | 7425 Los Guilucos Rd, Santa Rosa, CA 95409 | 2016-07-19 |
| 1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
| 1568884849 | Christopher Cincotta | Counselor | 540 Middle Rincon Road, Santa Rosa, CA 95409 | 2014-01-06 |
| 1104186626 | Gina Ruth Sarpy | Marriage & Family Therapist | 7425 Los Guilicos Rd, Dept. H, Santa Rosa, CA 95409 | 2012-05-17 |
| 1467745950 | Courtney King | Family Medicine | 4702 Starbuck Ave, Santa Rosa, CA 95409 | 2011-05-17 |
| 1427351162 | Robert E Richardson Md Professional Corp. | Surgery | 1812 Happy Valley Road, Santa Rosa, CA 95409 | 2010-12-20 |
| 1497063564 | Edmundo Simon Martinez IIi IIi | Occupational Therapist | 5555 Montgomery Dr., Santa Rosa, CA 95409 | 2010-09-22 |
| Find all providers in zip 95409 | ||||
| Taxonomy Code | 224900000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Mastectomy Fitter |
| An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053944827 | Abigail's Medical Supply Inc | Mastectomy Fitter | 2020 Camino Del Rio N Ste 105, San Diego, CA 92108-1542 | 2020-02-19 |
| 1679106926 | Dana Walker | Mastectomy Fitter | 9033 Baseline Rd Ste C, Rancho Cucamonga, CA 91730-1214 | 2020-02-14 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1053832923 | Bras and Honey Lingerie Limited | Mastectomy Fitter | 4242 Camino Del Rio N Ste 9, San Diego, CA 92108-2612 | 2017-06-30 |
| 1477810646 | Sasha Merritt | Mastectomy Fitter | 760 Market St Ste 854, San Francisco, CA 94102-2309 | 2012-04-12 |
| 1477834315 | Nancy A. Pavsek | Mastectomy Fitter | 1338 W Winton Ave, Hayward, CA 94545-1408 | 2011-09-06 |
| 1851461123 | Enhance By Linda Reib Inc. | Mastectomy Fitter | 4811 Chippendale Dr, Suite 208, Sacramento, CA 95841-2555 | 2006-11-08 |
| 1386277002 | Cinderella's Closet Your Specialty Lingerie Boutique | Mastectomy Fitter | 9033 Baseline Rd Ste C, Rancho Cucamonga, CA 91730-1214 | 2020-02-20 |
| 1891257499 | Haley Trivoli | Mastectomy Fitter | 232 N Brand Blvd, Glendale, CA 91203-2610 | 2019-04-02 |
| 1629547963 | Elizabeth L. Garcia-flynn | Mastectomy Fitter | 660 E Regent St, Inglewood, CA 90301-1415 | 2018-11-15 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95409 |
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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.