MS. SUE ANN SUTTON


Address: 2914 Domingo Ave, Berkeley, CA 94705-2454
Phone: 5109810800

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 2914 DOMINGO AVE
City BERKELEY
State CA
Zip Code 94705-2454

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

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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
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1043827140 April Lopez Ortiz Nurse Practitioner 500 W Ashland Ct, Visalia, CA 93277-6609 2020-09-23
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Competitor

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City BERKELEY
Zip Code 94705

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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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