SUSAN L WALKER (NPI# 1649417007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649417007 |
| Entity Type | Individual |
| Full Name | SUSAN L WALKER |
| Credential | R.N., L.M.T. |
| Practice Address |
456 Roosevelt Trl Windham ME 04062-6918 |
| Practice Telephone | 2078932310 |
| Mailing Telephone | 2078932310 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R021052 | ME | Nursing Service Providers |
| Y | 225700000X | Massage Therapist | MT669 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134049 | Susan S Walker | Psychologist | 401 Broadway Ste 609, New York, NY 10013-3029 | 2019-09-30 |
| 1316405418 | Susan Walker | Clinic/Center | 19920 Nw 3rd Pl, Miami, FL 33169-2934 | 2019-03-07 |
| 1801386347 | Susan Milligan Walker | Speech-Language Pathologist | 600 Concourse Blvd, Glen Allen, VA 23059-5779 | 2018-05-10 |
| 1437650991 | Susan Lenore Walker | Social Worker | 419 W Redwood St Ste 560, Baltimore, MD 21201-7023 | 2018-02-21 |
| 1265883466 | Susan Walker | Emergency Medicine | 513 Quail Run Dr, Warner Robins, GA 31088-3038 | 2016-06-29 |
| 1922329648 | Susan M Walker | Occupational Therapist | 12350 Lithuania Dr, Granada Hills, CA 91344-1637 | 2010-06-16 |
| 1891993986 | Susan Nellist Walker | Speech-Language Pathologist | 1573 E. Roy Rd., Freeland, WA 98249 | 2007-07-10 |
| 1205951027 | Susan S Walker | Psychiatry & Neurology | Cambridge Hospital Dept of Psychiatry, 1493 Cambridge Street, Cambridge, MA 02139 | 2007-03-20 |
| 1942351192 | Susan M Walker | Nurse Practitioner | 830 Washington St 3rd Floor, Samaritan Medical Center Pmc, Watertown, NY 13601-3211 | 2007-01-15 |
| 1528001955 | Susan Denise Walker | Counselor | 322d N Bloomington St, Lowell, AR 72745-9136 | 2006-06-14 |
| Street Address |
456 ROOSEVELT TRL |
| City | WINDHAM |
| State | ME |
| Zip Code | 04062-6918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396173878 | Lori A Fletcher | Occupational Therapist | 408 Gray Road, Windham Middle School, Windham, ME 04062 | 2013-10-22 |
| 1952631673 | Great Expectations | Early Intervention Provider Agency | 17 Veterans Memorial Drive, Windham, ME 04062 | 2009-12-31 |
| 1366689986 | Edgeco, LLC | Massage Therapist | 108 Tandberg Trail, Windham, ME 04062 | 2009-01-20 |
| 1245485390 | Cynthia Ann Grover | Counselor | 86 Tanenberg Trail, Smart Child and Family Services, Windham, ME 04062 | 2008-11-17 |
| 1902066277 | Edgeco LLC | Specialist | 108 Tandburg Trail, Windham, ME 04062 | 2008-06-11 |
| 1881811875 | John E. Wood | Counselor | 76 Tandberg Trl Unit 2a, Windham, ME 04062 | 2007-04-19 |
| 1184848509 | Howland W. Bickerstaff | Counselor | Danzig Counseling Services, 936 Roosevelt Trail, Windham, ME 04062 | 2007-04-13 |
| 1700953015 | Melanie P Fitzsimmons | Internal Medicine | 584 Roosevelt Trail, Windham, ME 04062 | 2006-11-29 |
| 1023109204 | Ted W Rogers | Chiropractor | 744 Roosevelt Trail, Windham Crossing Suite 205, Windham, ME 04062 | 2006-09-27 |
| 1285744367 | Cheryl L Klein | Counselor | 30 Hemon Cobb Rd, Windham, ME 04062 | 2006-08-30 |
| Find all providers in zip 04062 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368492 | Dale A Tuccelli | Massage Therapist | 58 Range Rd Ste R03, Windham, NH 03087-2026 | 2020-08-28 |
| 1346880754 | Amanda Mae Thomes | Massage Therapist | 936 Roosevelt Trl Ste 2, Windham, ME 04062-5652 | 2020-01-14 |
| 1043712169 | Siobhan Marie Raymond | Massage Therapist | 936 Roosevelt Trl Unit 2, Windham, ME 04062-5652 | 2018-03-05 |
| 1881138519 | Dianne Jezak | Massage Therapist | 16 Londonderry Rd, Windham, NH 03087-1651 | 2016-12-14 |
| 1174914709 | Julia Antonia Donaldson | Massage Therapist | 9 Frog Pond Rd, Windham, ME 04062-6800 | 2015-02-18 |
| 1669738860 | Lynn Priest | Massage Therapist | 824 Roosevelt Trl, Suite 5, Windham, ME 04062-5370 | 2012-04-02 |
| 1366689986 | Edgeco, LLC | Massage Therapist | 108 Tandberg Trail, Windham, ME 04062 | 2009-01-20 |
| 1609034289 | Edgeco, LLC | Massage Therapist | 108 Tandberg Trl, Windham, ME 04062-5206 | 2008-05-30 |
| 1053428151 | Clifford W Korn | Massage Therapist | 87 Indian Rock Road, Windham, NH 03087-1656 | 2006-08-24 |
| 1023515145 | Monica Doble | Massage Therapist | 60 Rockingham Rd Unit 10, Windham, NH 03087-1343 | 2018-04-06 |
| Find all providers in WINDHAM | ||||
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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.