MS. SUSAN JEAN BADER (NPI# 1750407383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750407383 |
Entity Type | Individual |
Full Name | MS. SUSAN JEAN BADER |
Other Name | MISS SUSAN JEAN BURK |
Credential | RN |
Practice Address |
2850 N 24th St Phoenix AZ 85008-1004 |
Practice Telephone | 6022665976 |
Practice Fax Number | 6022748952 |
Mailing Telephone | 6022665976 |
Mailing Fax Number | 6022748952 |
Enumeration Date | 2007-03-22 |
Last Update Date | 2013-11-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WC1500X |
Registered Nurse Specialization: Community Health |
99392 | CO | Nursing Service Providers |
Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
RN170031 | AZ | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 042127 | 05 | |
CO | LICENSE | 99392 | 01 |
AZ | 936560 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639299514 | Susan Bader | Physician Assistant | 450 Lakeville Rd, New Hyde Park, NY 11042-1118 | 2007-04-02 |
Street Address |
2850 N 24TH ST |
City | PHOENIX |
State | AZ |
Zip Code | 85008-1004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316975196 | Southwest Human Development | Early Intervention Provider Agency | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2006-06-29 |
1265941298 | Southwest Human Development | Early Intervention Provider Agency | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2017-09-21 |
1114463890 | Lydia Aurora Roy | Counselor | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2017-01-18 |
1982148037 | Aida Cristina Fernandez | Psychologist | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2016-12-08 |
1295142008 | Allison Rugg | Physical Therapist | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2014-07-14 |
1295145977 | Carlie M Bohrmann | Occupational Therapist | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2014-05-02 |
1154754943 | Alyssa L Fagan-clark | Social Worker | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2013-08-15 |
1184057101 | Andrea Lynn White | Counselor | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2013-08-13 |
1184056632 | Lorena B. Fletcher | Registered Nurse | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2013-08-07 |
1043642739 | Suzanne M. Schunk | Social Worker | 2850 N 24th St, Phoenix, AZ 85008-1004 | 2013-08-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
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1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
Find all providers in zip 85008 |
Taxonomy Code | 163WP0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477683985 | Beverly Ricketts | Registered Nurse | 4633 E Chandler Blvd Ste 100, Phoenix, AZ 85048-0431 | 2007-03-06 |
1356360705 | Cathy Boyle | Registered Nurse | 2120 N Central Ave, Phoenix, AZ 85004 | 2006-07-18 |
1336751999 | Cassandra E Martinez | Registered Nurse | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-08-17 |
1841782265 | Diana Olivera | Registered Nurse | 19829 N 27th Ave, Phoenix, AZ 85027 | 2018-06-01 |
1457880387 | Whittney S Petchel | Registered Nurse | 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-05 |
1740726520 | Jackie Arthur | Registered Nurse | 4610 E Osborn Rd, Phoenix, AZ 85018-6018 | 2017-01-17 |
1871997239 | Sheila Hill | Registered Nurse | 3131 E Camelback Rd, Suite 200, Phoenix, AZ 85016-4500 | 2014-10-14 |
1568791499 | Stephanie Vandyke | Registered Nurse | 26224 N Tatum Blvd, Ste 1, Phoenix, AZ 85050 | 2009-12-24 |
1891959896 | Karen Sheri Grayberg | Registered Nurse | 635 East Baseline Road, Phoenix, AZ 85042-6551 | 2008-07-18 |
1770763088 | Joyce Bailey Arnett | Registered Nurse | 735 E Fillmore St, Phoenix, AZ 85006-3324 | 2007-11-05 |
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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.