MS. SUE ANN SUTTON (NPI# 1770761074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770761074 |
Entity Type | Individual |
Full Name | MS. SUE ANN SUTTON |
Credential | RN NP |
Practice Address |
2914 Domingo Ave Berkeley CA 94705-2454 |
Mailing Address |
5640 Highland Ave Richmond CA 94804-5010 |
Practice Telephone | 5109810800 |
Mailing Telephone | 5106846558 |
Enumeration Date | 2008-02-08 |
Last Update Date | 2013-12-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
12229 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2914 DOMINGO AVE |
City | BERKELEY |
State | CA |
Zip Code | 94705-2454 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518048628 | Michael Ratener | Psychiatry & Neurology | 2914 Domingo Ave, Suite B, Berkeley, CA 94705-2454 | 2006-10-17 |
1720446818 | Laura Kong | Dentist | 2914 Domingo Ave, # A, Berkeley, CA 94705-2454 | 2016-02-03 |
1922288059 | Jeffrey Frances Culver | Dentist | 2914 Domingo Ave, Suite A, Berkeley, CA 94705-2454 | 2007-11-06 |
1912113549 | Nooshan Mirhadi | Dentist | 2914 Domingo Ave, Suite A, Berkeley, CA 94705-2454 | 2007-05-14 |
1306900121 | Mitchell Ray Corwin | Chiropractor | 2914 Domingo Ave, Suite B, Berkeley, CA 94705-2454 | 2006-12-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
Find all providers in zip 94705 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124465398 | Birch Psychiatric Services A Nursing Corporation | Nurse Practitioner | 2397 Shattuck Ave Ste 206, Berkeley, CA 94704-1567 | 2013-05-29 |
1306236799 | Haley A Horn | Nurse Practitioner | 3000 Colby St Ste 202, Berkeley, CA 94705-2058 | 2015-01-23 |
1548439003 | Jennifer Simpson Birch | Nurse Practitioner | 2397 Shattuck Ave, Suite 206, Berkeley, CA 94704-1567 | 2008-02-28 |
1003944539 | Jessica B. Vetter | Nurse Practitioner | 2222 Bancroft Way, #4300, Berkeley, CA 94720-4301 | 2007-02-28 |
1972646826 | Amy Catherine Thomson | Nurse Practitioner | 1749 Martin Luther King Jr Way, Berkeley, CA 94709-2139 | 2007-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
Find all providers with the same taxonomy |
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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.