SUSAN J. MITCHELL (NPI# 1669460010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669460010 |
| Entity Type | Individual |
| Full Name | SUSAN J. MITCHELL |
| Credential | NP |
| Practice Address |
1735 S Public Rd Ste 100 Lafayette CO 80026-7093 |
| Mailing Address |
1735 S Public Rd Ste 203 Lafayette CO 80026-7093 |
| Practice Telephone | 3036659310 |
| Practice Fax Number | 3036653397 |
| Mailing Telephone | 3036653036 |
| Mailing Fax Number | 3036653397 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
APN.0001242-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 56373848 | 05 | |
| DEA | MM0788452 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003378027 | Susan Jane Mitchell | Massage Therapist | 120 W State St Ste 5, Ithaca, NY 14850-5441 | 2019-04-01 |
| 1710445358 | Susan Mitchell | Dietitian, Registered | 1690 Walnut Ave, Winter Park, FL 32789-2036 | 2019-03-02 |
| 1588175160 | Susan Mitchell | Pedorthist | 400 E Red Bridge Rd Ste 305, Kansas City, MO 64131-4031 | 2017-10-23 |
| 1336513837 | Susan Mitchell | Speech-Language Pathologist | 2293 S Harwood Ave, Upper Darby, PA 19082-5405 | 2015-11-20 |
| 1912385360 | Susan Mitchell | Behavioral Analyst | 117 Park Rd, Ambler, PA 19002-1124 | 2015-05-18 |
| 1255649521 | Susan Annette Mitchell | Counselor | 24500 Center Ridge Rd Bldg 4, Suite 100, Westlake, OH 44145-5601 | 2010-09-20 |
| 1447402615 | Susan Lynn Mitchell | Occupational Therapist | 74 Orchard Lake Dr, Monroe, NY 10950-6507 | 2008-10-18 |
| 1235325424 | Susan Mitchell | Physical Therapist | 1783 Forest Dr # 307, Annapolis, MD 21401-4229 | 2007-09-20 |
| 1932221116 | Susan Elizabeth Mitchell | Specialist | 112 Alder Ave, Unit 10, Snohomish, WA 98290-3079 | 2007-04-06 |
| 1225047673 | Susan Diane Mitchell | Occupational Therapist | 8032 Summa Ave, Suite A, Baton Rouge, LA 70809-3478 | 2006-08-05 |
| Street Address |
1735 S PUBLIC RD STE 100 |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-7093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225025406 | Clinica Campesina Family Health Services | Clinic/Center | 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | 2005-10-03 |
| 1265070569 | Cathy Wing Chan | Dental Hygienist | 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | 2019-12-17 |
| 1609333871 | Jordan Gerard Levandoski | Nurse Practitioner | 1735 S Public Rd Ste 100, Lafayette, CO 80026 | 2019-02-25 |
| 1265907406 | Ciani Kate Sosa | Nurse Practitioner | 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | 2018-10-03 |
| 1750865838 | Chairel Thomas | Dental Hygienist | 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | 2018-09-24 |
| 1639658859 | Miranda Clark | Dental Hygienist | 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | 2018-08-08 |
| 1548705718 | Kalah Ross | Dental Hygienist | 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | 2016-12-27 |
| 1265982193 | Rachel Sobieck | Dental Hygienist | 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | 2016-10-04 |
| 1003361346 | Jessica Jensen | Dental Hygienist | 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | 2016-08-16 |
| 1972956431 | Cara Mcgee | Physician Assistant | 1735 S Public Rd Ste 100, Lafayette, CO 80026-7093 | 2016-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225361827 | Paulette Guidry Landry | Nurse Practitioner | U L Lafayette Student Health, 120 Boucher Dr., Lafayette, LA 70504-0001 | 2009-09-14 |
| 1467695700 | Heather M Lenox | Nurse Practitioner | 4540 Amb Caffery Pkwy, Ste C 220, Lafayette, LA 70508-6928 | 2009-04-16 |
| 1376741462 | Dianne Freeman-moore | Nurse Practitioner | 819 Woodmere Dr, Lafayette, IN 47905-5604 | 2007-07-10 |
| 1861554115 | Trent Fogleman, M.d., LLC | Nurse Practitioner | 1817 Bertrand Dr., Suite D, Lafayette, LA 70506 | 2006-12-14 |
| 1013470004 | Fallon Savoy Guidry | Nurse Practitioner | 4630 Ambassador Caffery Pkwy, Ste 204, Lafayette, LA 70508 | 2019-04-08 |
| 1154880128 | Sabrina Darbonne | Nurse Practitioner | 105 Corporate Blvd, Lafayette, LA 70508-3850 | 2019-03-18 |
| 1568941169 | Hailey S Hannon | Nurse Practitioner | 964 Mezzanine Dr, Lafayette, IN 47905-8631 | 2018-08-14 |
| 1821538174 | Lauren Elizabeth Hammer | Nurse Practitioner | 300 Exempla Cir, Suite 470, Lafayette, CO 80026-3397 | 2017-03-06 |
| 1689022139 | Janis Lee Lydick | Nurse Practitioner | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 | 2016-05-25 |
| 1942663885 | Aundria Hebert Cannon | Nurse Practitioner | 435 Heymann Blvd, Lafayette, LA 70503-2616 | 2016-03-29 |
| Find all providers in LAFAYETTE | ||||
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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.