SUSAN BACKER (NPI# 1770965642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770965642 |
| Entity Type | Individual |
| Full Name | SUSAN BACKER |
| Credential | APRN-CNS |
| Practice Address |
3911 Avenue B Scottsbluff NE 69361-4617 |
| Practice Telephone | 3086303708 |
| Practice Fax Number | 3086302113 |
| Mailing Telephone | 3086303708 |
| Mailing Fax Number | 3086302113 |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2015-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
114110 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3911 AVENUE B |
| City | SCOTTSBLUFF |
| State | NE |
| Zip Code | 69361-4617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497752331 | Ernest K Bussinger | Obstetrics & Gynecology | 3911 Avenue B, Ste 3100, Scottsbluff, NE 69361-4617 | 2005-07-07 |
| 1952955247 | James Lee Buck | Specialist/Technologist | 3911 Avenue B, Scottsbluff, NE 69361-4617 | 2019-07-25 |
| 1356837181 | Hope Marie Hansen | Nurse Practitioner | 3911 Avenue B, Scottsbluff, NE 69361-4617 | 2018-07-04 |
| 1386018638 | Brooke Arleen Borgman | Nurse Practitioner | 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361-4617 | 2015-11-24 |
| 1053737999 | Jocelyn Mellen | Speech-Language Pathologist | 3911 Avenue B, Suite G 200, Scottsbluff, NE 69361-4617 | 2014-03-17 |
| 1710324868 | Aaron James Cisar | Family Medicine | 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361-4617 | 2013-05-30 |
| 1871939025 | Dawn Elizabeth Mckown | Physical Therapist | 3911 Avenue B, Suite G200, Scottsbluff, NE 69361-4617 | 2013-05-15 |
| 1386991636 | Susan E Schoeneman | Nurse Practitioner | 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361-4617 | 2012-08-06 |
| 1568734804 | Jade Malcolm | Nurse Practitioner | 3911 Avenue B, Suite 3100, Scottsbluff, NE 69361-4617 | 2012-02-02 |
| 1285912030 | Regional West Physicians Clinic | Internal Medicine | 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361-4617 | 2011-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592803 | Sara Lynn Luehrs | Counselor | Westmoor Elementary, Scottsbluff Public Schools, 1722 Avenue K, Scottsbluff, NE 69361 | 2020-09-15 |
| 1467924076 | Kelly Jean Betts | Nurse Practitioner | 1601 W. 27th St., Wncc Harms Building, Scottsbluff, NE 69361 | 2018-12-20 |
| 1952824716 | Ellen Otto | Nurse Practitioner | 3210 Ave B, Suite B Quick Care, Scottsbluff, NE 69361 | 2017-07-24 |
| 1518379593 | Suzanne Poynter | Counselor | 14 West 27th, Suite 26, Scottsbluff, NE 69361 | 2014-05-27 |
| 1770834970 | Gabrielle K Mickelson | Dental Hygienist | 204 W 36th St, Scottsbluff, NE 69361 | 2012-09-27 |
| 1225393390 | Brittany R Eirich | Internal Medicine | 3911 Ave B Ste #1100, Scottsbluff, NE 69361 | 2012-07-05 |
| 1548560584 | Western Plains Psychology P.C. | Psychologist | 3911 Ave B, Suite 3400, South Plaza, Scottsbluff, NE 69361 | 2010-10-25 |
| 1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
| 1598972994 | Panhandle Mental Health Center | Case Management | 410 South Beltline, Suite 3, Scottsbluff, NE 69361 | 2007-05-16 |
| 1821201294 | Kay C. Gamet | Social Worker | 4410 Ave D, Scottsbluff, NE 69361 | 2007-05-08 |
| Find all providers in zip 69361 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639577703 | Starrlet Klute | Clinical Nurse Specialist | 1600 S 48th St, Ste 600, Lincoln, NE 68506-1283 | 2014-12-05 |
| City | SCOTTSBLUFF |
| Zip Code | 69361 |
Please comment or provide details below to improve the information on SUSAN BACKER.
| 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.