SUSAN ELLEN GAUGHAN (NPI# 1710990148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710990148 |
| Entity Type | Individual |
| Full Name | SUSAN ELLEN GAUGHAN |
| Credential | NP |
| Practice Address |
87 Liam Lane Centerville MA 02632-3354 |
| Practice Telephone | 5084209726 |
| Practice Fax Number | 5084208204 |
| Mailing Telephone | 5084209726 |
| Mailing Fax Number | 5084208204 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 94922 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0378241 | 05 |
| Street Address |
87 LIAM LANE |
| City | CENTERVILLE |
| State | MA |
| Zip Code | 02632-3354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144702937 | Samuel Rosier | Physical Therapist | 1600 Falmouth Rd Ste 34, Centerville, MA 02632 | 2018-08-29 |
| 1326547217 | Stephanie Dufresne | Counselor | 759 Old Strawberry Hill Rd., Centerville, MA 02632 | 2018-02-06 |
| 1790220838 | Jessie Lacasse | Social Worker | 88 West Main Street, Centerville, MA 02632 | 2016-12-28 |
| 1235524323 | Allison M. Friberg | Physician Assistant | 1185b Falmouth Road, Centerville, MA 02632 | 2015-04-06 |
| 1124136361 | Dr. Auger D.d.s. | Dentist | 1480 Falmouth Road, Centetrville, MA 02632 | 2006-08-28 |
| 1457467888 | Arthur Logan Bence | Social Worker | 161 Harbor Hills Road, Centerville, MA 02632 | 2006-08-21 |
| 1700999257 | Judith Begelfer Sonner | Social Worker | 1550 Falmouth Rd, Centerville, MA 02632 | 2006-08-17 |
| 1942299185 | Cape Regency Ma Snf LLC | Skilled Nursing Facility | 120 South Main Street, Centerville, MA 02632 | 2005-10-20 |
| 1831514405 | Thomas Jared Butler | Counselor | 1185 Falmouth Rd, Centerville, MA 02632 | 2014-02-19 |
| 1609212620 | James Millard Girard | Counselor | 183 Shootflying Hill Rd, Centeviller, Centerville, MA 02632-1439 | 2013-05-16 |
| Find all providers in zip 02632 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482936 | Leah Elizabeth Coffman | Nurse Practitioner | 6474 Winthrop Pl, Centerville, OH 45459-2833 | 2020-06-22 |
| 1124679576 | Caren Michael | Nurse Practitioner | 8039 Washington Village Dr Ste 100, Centerville, OH 45458-1877 | 2019-09-26 |
| 1306407101 | Amy L. Goff-yates | Nurse Practitioner | 6179 Laurelhurst Ln, Centerville, OH 45459-2227 | 2019-06-24 |
| 1447503933 | Martha Ann Sheldrick | Nurse Practitioner | 212 Walnut Grove Dr, Centerville, OH 45458 | 2012-10-21 |
| 1710963657 | Yvonne Y. Clark | Nurse Practitioner | 1550 Yankee Park Pl, Ste A, Centerville, OH 45458-1838 | 2005-12-22 |
| 1619521028 | Maria Annette Horn | Nurse Practitioner | 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 | 2019-07-25 |
| 1740832807 | Cathy Sue Ernst | Nurse Practitioner | 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 | 2019-07-09 |
| 1710549860 | Lisa K Bowman | Nurse Practitioner | 2400 Miami Valley Dr, Centerville, OH 45459 | 2019-06-28 |
| 1467012328 | Danielle Smith | Nurse Practitioner | 1518 Hwy 100, Centerville, TN 37033 | 2019-06-13 |
| 1194282269 | Kelsey Linnette Patterson | Nurse Practitioner | 2350 Miami Valley Dr Ste 500, Centerville, OH 45459-4780 | 2019-02-25 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 02632 |
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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.