MRS. SUSAN CORENE ELLIOTT (NPI# 1679536395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679536395 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN CORENE ELLIOTT |
| Credential | LPN |
| Practice Address |
4350 Mariners Cir Oconomowoc WI 53066-4565 |
| Practice Telephone | 2625677735 |
| Mailing Telephone | 2625677735 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 22726-031 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659616282 | Susan Kay Elliott | Speech-Language Pathologist | 1810 Presidents Dr, Lawrenceville, GA 30043-7187 | 2012-12-08 |
| 1679694186 | Susan Auguste Elliott | Psychologist | 53 Hemlock Road, East Calais, VT 05650 | 2007-04-02 |
| 1740802891 | Susan Elliott | Counselor | 5 Brook St Ste 1a, Darien, CT 06820-4549 | 2020-05-12 |
| 1407323132 | Susan Jane Elliott | Nurse Practitioner | 3691 Rutger St, Saint Louis, MO 63110-2515 | 2018-10-31 |
| 1912435900 | Susan E Elliott | Nurse Practitioner | 463 Sam Ridley Pkwy W, Smyrna, TN 37167-5626 | 2017-06-02 |
| 1609044254 | Susan Elliott | Nurse Practitioner | 920 2nd Ave S, Suite 400, Minneapolis, MN 55402-3318 | 2008-02-18 |
| 1831315126 | Susan Elliott | Social Worker | 162 Federal St, Salem, MA 01970-3248 | 2007-04-17 |
| 1699807230 | Susan Carter Elliott | Counselor | 2 Graves Ave, Guilford, CT 06437-2626 | 2007-03-09 |
| 1659306157 | Susan Tillman Elliott | Dermatology | 4910 Massachusetts Ave Nw, Suite 308, Washington, DC 20016-4300 | 2006-07-12 |
| 1922061381 | Susan Nehrenz Elliott | Nurse Practitioner | 101 E Wood St, Spartanburg, SC 29303-3040 | 2006-04-07 |
| Street Address |
4350 MARINERS CIR |
| City | OCONOMOWOC |
| State | WI |
| Zip Code | 53066-4565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109082 | Sharon Legwinski | Occupational Therapist | 2195 N. Summit Way, Oconomowoc, WI 53066 | 2019-05-17 |
| 1033676390 | Paladina Health, LLC | Family Medicine | Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 | 2019-02-22 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1649748203 | Ginny Dacquisto | Dietitian, Registered | 1134 Lily Rd, Oconomowoc, WI 53066 | 2018-11-12 |
| 1174000764 | Aimee M Metzger | Social Worker | 405 E Forest St Ste 113, Oconomowoc, WI 53066 | 2018-07-26 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1962890475 | Monica Rodriguez | Counselor | 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 | 2015-01-06 |
| 1518384643 | Kimberley Bevan | Pharmacist | 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 | 2014-03-26 |
| 1699098905 | Heidi Eckroth Nunnemacher | Counselor | 35315 Genesee Lake Road, Oconomowoc, WI 53066 | 2010-03-02 |
| 1669705240 | Oconomowoc Development Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 | 2009-09-14 |
| Find all providers in zip 53066 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598016990 | Susanc Kuerschner | Licensed Practical Nurse | N7770 Maple Ridge Rd, Oconomowoc, WI 53066-2007 | 2012-09-25 |
| 1396004826 | Samantha Sarah Schmittinger | Licensed Practical Nurse | 667 Summit Ave, Oconomowoc, WI 53066-3843 | 2012-05-03 |
| 1992021620 | Christine Marie Bolyard | Licensed Practical Nurse | 638 State St, Oconomowoc, WI 53066-3743 | 2010-04-20 |
| 1285892554 | Tina Marie Falkowski | Licensed Practical Nurse | N7706 Maple Ridge Road, Oconomowoc, WI 53066 | 2008-05-23 |
| 1194028530 | Stephanie Michelle Mundy | Licensed Practical Nurse | N68w35460 County Road K, Oconomowoc, WI 53066-1210 | 2010-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040180 | Ashlee K Regenauer | Licensed Practical Nurse | 1103 Whitewater Ave, Fort Atkinson, WI 53538-2669 | 2020-10-14 |
| 1538767355 | Samantha Jo Dates | Licensed Practical Nurse | N8273 E Friesland Rd, Randolph, WI 53956-9407 | 2020-10-14 |
| 1861090714 | Kayla Ann Grapentine | Licensed Practical Nurse | 2425 Dewey St Unit 28, Manitowoc, WI 54220-6368 | 2020-10-13 |
| 1457966731 | Denise Brown | Licensed Practical Nurse | 1215 Monroe Ave, Racine, WI 53405-2862 | 2020-09-13 |
| 1720690514 | Kaitlynn Sutor | Licensed Practical Nurse | 6102 Pacific Crest Rd, Mcfarland, WI 53558-8741 | 2020-08-21 |
| 1326650227 | Emily J. Szulczewski | Licensed Practical Nurse | 4724 W Greenfield Rd, Janesville, WI 53548-9111 | 2020-08-20 |
| 1881205359 | Michelle Eichenberg | Licensed Practical Nurse | 1028 East St Apt 8, Fort Atkinson, WI 53538-2643 | 2020-08-10 |
| 1205445509 | Kelsey Tenpas | Licensed Practical Nurse | 8232 State Highway 73, Pittsville, WI 54466-9336 | 2020-07-23 |
| 1013535491 | Debra Ann Martens Mcpherrin | Licensed Practical Nurse | 551 Rivershores Dr, West Bend, WI 53090-2531 | 2020-07-11 |
| 1861019952 | Tasha Harris | Licensed Practical Nurse | 1238 Sunfield St, Sun Prairie, WI 53590-2740 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
| City | OCONOMOWOC |
| Zip Code | 53066 |
Please comment or provide details below to improve the information on MRS. SUSAN CORENE ELLIOTT.
| 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.