SUSAN GAYLE VILLERS


Address: 800 Pennsylvania Ave, Charleston, WV 25302-3351
Phone: 3044141880

SUSAN GAYLE VILLERS (NPI# 1720574254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720574254
Entity Type Individual
Full Name SUSAN GAYLE VILLERS
Other Name SUSAN GAYLE ESTEP
Credential NP-C
Practice Address 800 Pennsylvania Ave
Charleston
WV 25302-3351
Mailing Address 97 Great Teays Blvd Ste 6
Scott Depot
WV 25560-9816
Practice Telephone 3044141880
Practice Fax Number 3044141886
Mailing Telephone 3047576999
Mailing Fax Number 3042015019
Enumeration Date 2018-07-09
Last Update Date 2018-10-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics F10171032 WV Allopathic & Osteopathic Physicians
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN57336 WV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WV 1720574254 05

Office Location

Street Address 800 PENNSYLVANIA AVE
City CHARLESTON
State WV
Zip Code 25302-3351

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265435556 Tina Nannette Caldwell Nurse Anesthetist, Certified Registered 800 Pennsylvania Ave, Charleston, WV 25302-3351 2005-05-31
1871107565 Katherine Rose Laishley Counselor 800 Pennsylvania Ave, Charleston, WV 25302-3351 2020-09-01
1871116327 Jared Daniel Simpson Nurse Anesthetist, Certified Registered 800 Pennsylvania Ave, Charleston, WV 25302-3351 2020-05-19
1306469861 Allison Ferrell Nurse Anesthetist, Certified Registered 800 Pennsylvania Ave, Charleston, WV 25302-3351 2020-05-19
1619598315 Shikha Sharma Student in an Organized Health Care Education/Training Program 800 Pennsylvania Ave, Charleston, WV 25302-3351 2020-05-04
1861021859 Taylor Pollock Student in an Organized Health Care Education/Training Program 800 Pennsylvania Ave, Charleston, WV 25302-3351 2020-04-02
1437786472 Lyndsey Weatherly Student in an Organized Health Care Education/Training Program 800 Pennsylvania Ave, Charleston, WV 25302-3351 2020-03-26
1164059366 Lindsey Kent Student in an Organized Health Care Education/Training Program 800 Pennsylvania Ave, Charleston, WV 25302-3351 2020-03-26
1154958502 Rutvi Shah Student in an Organized Health Care Education/Training Program 800 Pennsylvania Ave, Charleston, WV 25302-3351 2020-03-25
1093342545 Kelly Elizabeth Humphreys Simmons Student in an Organized Health Care Education/Training Program 800 Pennsylvania Ave, Charleston, WV 25302-3351 2020-03-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649871963 Sha'la Wright Technician 713 Orchard Street Apt. G, Charleston, WV 25302 2020-11-03
1154929446 Christine Balser Technician 3324 Pennsylvania Avenue, Charleston, WV 25302 2020-10-09
1629698865 Umer Muhammad Student in an Organized Health Care Education/Training Program Childrens Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 2020-04-17
1689209660 Annedie Beauty Equipment Wholesale Prosthetic/Orthotic Supplier 3406 Pennsylvania Avenue, Charleston, WV 25302 2020-03-10
1932753530 Northwest Pharmacy, LLC Pharmacy 708 Bigley Ave, Ste A, Charleston, WV 25302 2019-07-31
1831753185 Philip Rhoney Fending Student in an Organized Health Care Education/Training Program Camc Ob/gyn Center, 800 Pennsylvania Ave, Charleston, WV 25302 2019-04-23
1851854491 Amee Atulkumar Amin Student in an Organized Health Care Education/Training Program Familycare/ Children's Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 2019-04-10
1790276525 Womencare Inc Clinic/Center 812 Park Ave # 35, Charleston, WV 25302 2018-05-29
1245729771 Zunaira Mahmood Student in an Organized Health Care Education/Training Program 800 Pennsylvania Ave., Familycare/children's Medicine C, Charleston, WV 25302 2018-05-10
1093212383 Rahiya Binte Rehman Student in an Organized Health Care Education/Training Program 800 Pennsylvania Ave Family Care / Children's Medicine, Charleston, WV 25302 2018-04-12
Find all providers in zip 25302

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417557737 Diondra Johnson Nurse Practitioner 2327 Watchtower Ln, Charleston, SC 29414-7803 2020-10-27
1427656735 Kisha Lanece James Nurse Practitioner 16 Red Mulberry Way Apt 3, Charleston, WV 25306-0107 2020-10-09
1043822216 Amber Bagwell Nurse Practitioner 442 King St Fl 2, Charleston, SC 29403-6230 2020-08-19
1790396273 Amanda Jo Grant Nurse Practitioner 2207 Seneca Dr, Charleston, IL 61920-3836 2020-08-10
1811514961 Isabel Margarita Lemasters Nurse Practitioner 3226 Moonlight Dr, Charleston, SC 29414-8052 2020-07-05
1255954566 Christina L. White Nurse Practitioner 1199 Persimmon Rd, Charleston, IL 61920 2020-05-20
1770123929 Catherine A. Woods Nurse Practitioner 9313 Medical Plaza Dr Ste 310, Charleston, SC 29406-9197 2020-01-15
1104464999 Brittany D Griffith Nurse Practitioner 830 Pennsylvania Ave Ste 402, Charleston, WV 25302-3390 2019-12-12
1437795747 Brigitte Britt Huttemeyer Nurse Practitioner 678 Castle Pinckney Dr, Charleston, SC 29412 2019-11-21
1124660774 Dennis Robert Moore Nurse Practitioner 4610 Kanawha Ave Sw Ste 302, Charleston, WV 25309-1367 2019-10-16
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Competitor

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City CHARLESTON
Zip Code 25302

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Dataset Information

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.

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