SUSAN DOCTOLERO (NPI# 1770829012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770829012 |
| Entity Type | Individual |
| Full Name | SUSAN DOCTOLERO |
| Credential | NPC |
| Practice Address |
3506 21st St Suite 302 Lubbock TX 79410-1212 |
| Mailing Address |
3601 4th St Lubbock TX 79430-0002 |
| Practice Telephone | 8067251908 |
| Practice Fax Number | 8067236095 |
| Mailing Telephone | 8067254721 |
| Mailing Fax Number | 8067236095 |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2018-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP122715 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3506 21ST ST SUITE 302 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849419 | Kenneth Edward Kruczek | Internal Medicine | 3506 21st St, Suite 605, Lubbock, TX 79410-1212 | 2005-05-23 |
| 1134661358 | Fred Gregory Sebastian Iv | Physician Assistant | 3506 21st St, Suite 507, Lubbock, TX 79410-1212 | 2016-11-07 |
| 1295284396 | Caitlin Sarah Blair | Nurse Practitioner | 3506 21st St, Ste 607, Lubbock, TX 79410-1212 | 2016-09-29 |
| 1851744957 | Brandy Gilbrett Trevino | Nurse Practitioner | 3506 21st St, Ste. 507, Lubbock, TX 79410-1212 | 2016-07-13 |
| 1366848541 | Gabriella Trevino Davis | Nurse Practitioner | 3506 21st St, Lubbock, TX 79410-1212 | 2014-11-14 |
| 1760817324 | Monica Caraveo Pilip | Nurse Practitioner | 3506 21st St, Suite 203, Lubbock, TX 79410-1212 | 2013-09-13 |
| 1164798989 | Amy D'ann Gordon | Nurse Practitioner | 3506 21st St, Suite 607, Lubbock, TX 79410-1212 | 2012-03-27 |
| 1164791257 | Sharronda Richawn Bradford | Nurse Practitioner | 3506 21st St, Suite605, Lubbock, TX 79410-1212 | 2011-12-20 |
| 1477821106 | Theophilus O Olumese | Hospitalist | 3506 21st St, Suite 605, Lubbock, TX 79410-1212 | 2011-12-08 |
| 1831484831 | Katie L. Hendley | Psychiatry & Neurology | 3506 21st St, Suite 400, Lubbock, TX 79410-1212 | 2011-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027989 | Stephanie S Brown | Nurse Practitioner | 4511 University Ave Ste B, Lubbock, TX 79413-3725 | 2020-03-09 |
| 1164067393 | Geriatric Telemedicine and Oncall Consultants LLC. | Nurse Practitioner | 222 Genoa Ave, Lubbock, TX 79416-1708 | 2019-11-12 |
| 1033674932 | Kimberly Melcher | Nurse Practitioner | 3601 4th Ortho, Lubbock, TX 79430-0001 | 2019-02-05 |
| 1770020703 | Patrick Joe Ochoa | Nurse Practitioner | 2129 57th St, Lubbock, TX 79412-2625 | 2017-01-29 |
| 1770909665 | Jennifer Skero | Nurse Practitioner | 10208 Quaker Ave, Lubbock, TX 79424-8394 | 2014-03-15 |
| 1346547627 | Shirley Ann Mcreynolds | Nurse Practitioner | 6034 68th St, Lubbock, TX 79424-2933 | 2011-02-22 |
| 1659301471 | Traci Rodriguez | Nurse Practitioner | 1902 50th St, Lubbock, TX 79412-2706 | 2006-07-04 |
| 1356385504 | Warden Lamar Palmer | Nurse Practitioner | 1802 E 50th St, Suite 104, Lubbock, TX 79404 | 2006-06-16 |
| 1063478527 | Kimberly Billingsley | Nurse Practitioner | 3502 9th St Ste 110, Lubbock, TX 79415-3367 | 2006-04-25 |
| 1053377531 | Melinda Chavez | Nurse Practitioner | 4321 Marsha Sharp Freeway, Door #1, Lubbock, TX 79407-2504 | 2006-04-25 |
| Find all providers in LUBBOCK | ||||
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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.