SUSAN KAY CLAVETTE (NPI# 1770903114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770903114 |
| Entity Type | Individual |
| Full Name | SUSAN KAY CLAVETTE |
| Credential | PMHNP |
| Practice Address |
12616 W 62nd Ter Ste 116 Shawnee KS 66216-2044 |
| Mailing Address |
12616 W 62nd Ter Ste 119 Shawnee KS 66216-1811 |
| Practice Telephone | 9132106005 |
| Mailing Telephone | 9132106005 |
| Mailing Fax Number | 9132106008 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
76322 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12616 W 62ND TER STE 116 |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66216-2044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629003090 | Jeffrey James Weeks | Occupational Therapist | 12616 W 62nd Ter, Suite 116b, Shawnee, KS 66216-1814 | 2006-07-12 |
| 1689884934 | Dims Inc | Durable Medical Equipment & Medical Supplies | 12616 W 62nd Ter, Suite 116, Shawnee, KS 66216-1814 | 2007-05-23 |
| 1134346000 | Standup Mobility, LLC | Durable Medical Equipment & Medical Supplies | 12616 W 62nd Ter, Ste A-115a, Shawnee, KS 66216-1811 | 2007-04-20 |
| 1790707529 | Marilyn R Richardson | Specialist | 12616 W 62nd Ter, Shawnee, KS 66216-1814 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912431925 | Sara Fattaey | Social Worker | 7020 Constance St, Shawnee, KS 66216 | 2017-04-17 |
| 1952778631 | Martin Gale Volker | Pharmacist | 13550 W 63rd Street, Shawnee, KS 66216 | 2015-08-28 |
| 1952799827 | Susan Thomure | Physical Therapy Assistant | 6401 Long, Shawnee, KS 66216 | 2014-12-31 |
| 1144594326 | Tom Wigginton Medical, Inc. | Durable Medical Equipment & Medical Supplies | 12616 W 62nd Terr., Suite 115c, Shawnee, KS 66216 | 2012-03-06 |
| 1548572811 | Tyler Ross Young | Optometrist | 12129 Shawnee Mission Pkwy, Shawnee, KS 66216 | 2010-07-02 |
| 1689801441 | Charles Richard Ford | Ophthalmology | 4742 Black Swan Drive, Shawnee, KS 66216 | 2009-06-18 |
| 1659412237 | Carol J. Akers | Dentist | 12480 W 62nd Ter Ste 200, Shawnee, KS 66216 | 2007-02-08 |
| 1699788307 | Douglas A Anderson | Chiropractor | 12510 W 62nd Terrace, Ste #101, Shawnee, KS 66216 | 2006-08-14 |
| 1861442451 | Dayna M Brinckman | Dentist | 7407 Noland Rd, Shawnee, KS 66216 | 2006-05-12 |
| 1932164894 | Vintage Park At Lenexa LLC | Assisted Living Facility | 8710 Caenen Lake Road, Lenexa, KS 66216 | 2006-04-20 |
| Find all providers in zip 66216 | ||||
| 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 |
|---|---|---|---|---|
| 1184164543 | Susan Clavette Integrative Psychiatric Np LLC | Nurse Practitioner | 12616 W 62nd Ter Ste 119, Shawnee, KS 66216-1811 | 2017-03-06 |
| 1215999834 | Teresa Renee Palermo | Nurse Practitioner | 6440 Nieman Rd, Shawnee, KS 66203-3326 | 2006-04-06 |
| 1518575893 | Connie Semehar Harrington | Nurse Practitioner | 6440 Nieman Rd, Shawnee, KS 66203-3326 | 2020-07-22 |
| 1538579560 | Julie Ann Al-azzeh | Nurse Practitioner | 6440 Nieman Rd, Shawnee, KS 66203-3326 | 2014-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363137 | Marva Calder | Nurse Practitioner | 7299 W 98th Terrance Bld 6, Suite 120, Overland Park, KS 66212 | 2020-10-15 |
| 1861008732 | Georgette Musanase Kairanga | Nurse Practitioner | 9354 W 121st Ter, Overland Park, KS 66213-1547 | 2020-09-16 |
| 1720601982 | Jared Liebl | Nurse Practitioner | 3431 Deer Rdg, Rose Hill, KS 67133-8831 | 2020-05-22 |
| 1023658663 | Boniface Ndungu Gitau | Nurse Practitioner | 6003 E Bayley St, Wichita, KS 67218-3505 | 2020-01-12 |
| 1639713639 | Trenton James Schmidt | Nurse Practitioner | 511 Ne 10th, Abilene, KS 67410 | 2019-11-01 |
| 1083262695 | Andrea Michelle Rogers | Nurse Practitioner | 7829 E Rockhill St Ste 105, Wichita, KS 67206-3919 | 2019-08-27 |
| 1487132171 | Kristal Lynn Lang | Nurse Practitioner | 7570 W 21st St, Suite 1026d, Wichita, KS 67205-1764 | 2018-08-03 |
| 1316300239 | Tapestry Psychiatric Services LLC | Nurse Practitioner | 529 N Lincoln Ave, Liberal, KS 67901-3309 | 2016-03-29 |
| 1609267806 | Theresa Mueller | Nurse Practitioner | 7050 W 107th St Ste 10, Overland Park, KS 66212-1921 | 2015-02-10 |
| 1114334067 | Jane Crawford | Nurse Practitioner | 8623 E 32nd St N, Wichita, KS 67226 | 2014-07-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUSAN KAY CLAVETTE.
| 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.