MS. SUSAN L SHAFER (NPI# 1770097172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770097172 |
| Entity Type | Individual |
| Full Name | MS. SUSAN L SHAFER |
| Credential | RN, IBCLC |
| Practice Address |
4701 Montgomery Blvd Ne Ste 105 Albuquerque NM 87109-1219 |
| Practice Telephone | 5057276797 |
| Practice Fax Number | 5057279979 |
| Mailing Telephone | 5057276797 |
| Mailing Fax Number | 5057279979 |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R43522 | NM | Nursing Service Providers |
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
10912258 | NM | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386880664 | Susan Passafiume Shafer | Counselor | 5010 Randell Pkwy Wilmington Nc 28403, Wilmington, NC 28403-2829 | 2008-12-17 |
| 1932185436 | Susan Lori Shafer | Nurse Practitioner | 49 Rock Springs Rd, Conowingo, MD 21918 | 2005-12-16 |
| 1174047252 | Susan Lynn Shafer | Counselor | 161 N Date St, Escondido, CA 92025-3405 | 2017-07-31 |
| 1285154997 | Susan Marie Shafer | Counselor | 555 Cincinnati Batavia Pike, Cincinnati, OH 45244-1557 | 2017-06-23 |
| 1144570623 | Susan Shafer | Emergency Medicine | 501 Billingsley Rd, Charlotte, NC 28211-1009 | 2012-09-12 |
| 1306986443 | Susan Shafer | Registered Nurse | 2 Trap Falls Rd, Suite 414, Shelton, CT 06484-4616 | 2007-02-07 |
| 1598819153 | Susan Ann Shafer | Nurse Anesthetist, Certified Registered | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2007-01-22 |
| Street Address |
4701 MONTGOMERY BLVD NE STE 105 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-1219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568976975 | Natalie Swart | Lactation Consultant, Non-RN | 4701 Montgomery Blvd Ne Ste 105, Albuquerque, NM 87109-1219 | 2017-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343547 | Christine Reecer | Registered Nurse | 1812 Paige Pl Ne, Albuquerque, NM 87112-4747 | 2019-08-27 |
| 1831619840 | Lynda Miller | Registered Nurse | 9605 Desert Mountain Rd Ne, Albuquerque, NM 87122-3614 | 2017-06-21 |
| 1073046405 | Gloria Viera | Registered Nurse | 5224 Ironwood Dr Nw, Albuquerque, NM 87114-4628 | 2017-04-03 |
| 1285148072 | Teresa Paez | Registered Nurse | 4705 Montgomery Blvd Ne Ste 105, Albuquerque, NM 87109-1246 | 2017-12-01 |
| 1922438092 | Stephanie Sanchez | Registered Nurse | 5150 Journal Center Blvd Ne, 1st Floor Women's Health, Albuquerque, NM 87109-5900 | 2013-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1972926962 | Kimberly Renee Lusk | Registered Nurse | 5011 Apache Hills Dr, Roswell, NM 88201-9484 | 2014-01-27 |
| 1710329768 | Heather Christine Powell | Registered Nurse | 4332 Sandstone Dr, Clovis, NM 88101-1059 | 2013-07-18 |
| 1982914487 | Cassaundra Renea Jah | Registered Nurse | 176 Pinon Trl, Cedar Crest, NM 87008-9457 | 2010-10-18 |
| 1679113021 | Lactation Consutant On The Go LLC | Registered Nurse | 220 Vista Del Rey Dr, Vado, NM 88072-7236 | 2020-01-14 |
| 1982253902 | Deborah Stafford | Registered Nurse | 220 Vista Del Rey Dr, Vado, NM 88072-7236 | 2019-09-11 |
| 1467877597 | Barbara Pratt | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2014-02-26 |
| 1366885758 | Lauren Faye Oberholser | Registered Nurse | 7708 4th St Nw, Los Ranchos, NM 87107-6510 | 2013-04-16 |
| 1629262928 | Elizabeth Gray Schichtel | Registered Nurse | Us Hwy 491 North, Shiprock, NM 87420 | 2007-08-29 |
| 1356559058 | Ann Wooten Lown | Registered Nurse | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2007-05-18 |
| Find all providers with the same taxonomy | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on MS. SUSAN L SHAFER.
| 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.