MRS. SUSAN FLEMING KISTLER (NPI# 1679668057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679668057 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN FLEMING KISTLER |
| Credential | GNP |
| Practice Address |
508 Fulton Street Durham NC 27705 |
| Mailing Address |
2500 Lanier Place Durham NC 27705 |
| Practice Telephone | 9194165969 |
| Mailing Telephone | 9194901040 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
111065 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
508 FULTON STREET |
| City | DURHAM |
| State | NC |
| Zip Code | 27705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164481016 | Martha L Larson | Nurse Practitioner | 508 Fulton Street, Durham, NC 27710-0001 | 2006-03-20 |
| 1346597564 | Jason Edward Bonner | Psychologist | 508 Fulton Street, Durham, NC 27705 | 2012-08-07 |
| 1396009932 | Rachel Brooke Waltz | Social Worker | 508 Fulton Street, Durham, NC 27705 | 2012-06-28 |
| 1215298328 | Melissa Diane Schneider | Social Worker | 508 Fulton Street, Durham Va Medical Center, Durham, NC 27705-9994 | 2012-06-05 |
| 1851662167 | Nancy Ho Shen | Nurse Practitioner | 508 Fulton Street, Durham, NC 27705 | 2012-01-18 |
| 1003190083 | Caroline Marie Griffin | Social Worker | 508 Fulton Street, Department of Veterans Affairs Medical Center, Durham, NC 27705 | 2011-10-07 |
| 1023335775 | Vijay Yerubandi | Nuclear Medicine | 508 Fulton Street, Durham, NC 27705-3875 | 2010-04-20 |
| 1548492267 | Tiffany Charon Mosby | Licensed Practical Nurse | 508 Fulton Street, Durham Va Medical Center, Durham, NC 27700 | 2009-08-13 |
| 1508002551 | Turquious Michelle Byrd | Social Worker | 508 Fulton Street, Durham Va Medical Center, Social Work Service (122), Durham, NC 27705 | 2008-12-22 |
| 1366613705 | Jillian Thompson | Music Therapist | 508 Fulton Street, (117c), Durham, NC 27705-3875 | 2008-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669982039 | Christian Bernard Mikesell | Nurse Practitioner | Duke Geriatrics: 40 Medicine Circle Clinic 1j, Durham, NC 27710-4907 | 2017-10-11 |
| 1922253475 | Amanda Winslow Yopp | Nurse Practitioner | 2400 Pratt St Ste 1100, Dumc 3961, Durham, NC 27710-0001 | 2008-11-25 |
| 1164580908 | Faviola Cagle | Nurse Practitioner | 301 Carver St, Durham, NC 27704-2707 | 2006-12-05 |
| 1518526409 | Christopher Lyon | Nurse Practitioner | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2019-06-13 |
| 1629421276 | Tammy Stancil | Nurse Practitioner | 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 | 2016-07-19 |
| 1942655071 | Penny Phlegar | Nurse Practitioner | 2645 Meridian Pkwy Ste 323, Durham, NC 27713-4232 | 2016-04-26 |
| 1124482906 | Stephanie Renee Chancy | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2016-04-07 |
| 1578903316 | Christina Harrelson | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2013-06-25 |
| 1215117494 | Suzanne Lafayette Hixson | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2007-11-06 |
| 1558445007 | Cristina Cu Hendrix | Nurse Practitioner | 508 Fulton St, Grecc Durham Veterans Affairs Medical, Durham, NC 27705-3875 | 2006-10-24 |
| Find all providers in DURHAM | ||||
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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.