SUSAN I NORDSTROM (NPI# 1780637793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780637793 |
| Entity Type | Individual |
| Full Name | SUSAN I NORDSTROM |
| Credential | CRNA |
| Practice Address |
915 E 1st St Duluth MN 55805-2107 |
| Mailing Address |
4828 Woodland Ave Duluth MN 55803-1433 |
| Practice Telephone | 2182495555 |
| Mailing Telephone | 2187285985 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R0998743 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518147248 | Susan M. Nordstrom | Registered Nurse | 67 Dutch Hollow Dr, Orangeburg, NY 10962 | 2007-11-09 |
| 1154467900 | Susan Rachel Nordstrom | Physical Therapist | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2007-01-29 |
| 1205984655 | Susan Ahlene Nordstrom | Dentist | 910 Ne 82nd St, Vancouver, WA 98665-8847 | 2007-01-08 |
| Street Address |
915 E 1ST ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386692879 | Diane M. Mccaffrey | Anesthesiology | 915 E 1st St, Duluth, MN 55805 | 2006-05-05 |
| 1801496005 | Nathan William Johnson | Occupational Therapist | 915 E 1st St, Duluth, MN 55805-2107 | 2020-10-27 |
| 1023618238 | Alan David Hagen | Physical Therapist | 915 E 1st St, Duluth, MN 55805-2107 | 2020-10-27 |
| 1962002162 | Rebecca Adeline Plachner | Occupational Therapist | 915 E 1st St, Duluth, MN 55805-2107 | 2020-10-27 |
| 1033719232 | Emily Louise Whiting | Occupational Therapist | 915 E 1st St, Duluth, MN 55805-2107 | 2020-10-27 |
| 1700485216 | Brittney Marie Wychor | Physical Therapist | 915 E 1st St, Duluth, MN 55805-2107 | 2020-10-26 |
| 1790390334 | Michelle Ann Aysta | Occupational Therapist | 915 E 1st St, Duluth, MN 55805-2107 | 2020-09-10 |
| 1497370183 | Shelly Bruecken | Occupational Therapist | 915 E 1st St, Duluth, MN 55805-2107 | 2020-06-09 |
| 1235753104 | Sara E Behning | Physical Therapist | 915 E 1st St, Duluth, MN 55805-2107 | 2020-06-05 |
| 1619591583 | Alysson Reum | Speech-Language Pathologist | 915 E 1st St, Duluth, MN 55805-2107 | 2020-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
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| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285139865 | Levi Garrett La Porte | Nurse Anesthetist, Certified Registered | Duluth Clinic, 400 East Third Street, Duluth, MN 55805-1951 | 2018-03-27 |
| 1538326137 | Shawn C Lewis | Nurse Anesthetist, Certified Registered | 2938 Major Ridge Trl, Anesthesia Department, Duluth, GA 30097-4985 | 2008-05-21 |
| 1073689295 | Nicolle Marie Nicklas | Nurse Anesthetist, Certified Registered | 219 Garden St., Duluth, MN 55812 | 2006-11-28 |
| 1215947064 | Jacalyn Ann Hoecker | Nurse Anesthetist, Certified Registered | 920 E 1st St Ste P-101, Pavilion Surgery Center, Duluth, MN 55805-2201 | 2006-08-08 |
| 1326098377 | Christopher J Lafleur | Nurse Anesthetist, Certified Registered | 3704 Allendale Ave, Duluth, MN 55803-1829 | 2006-05-11 |
| 1952360653 | Joan Eileen Jay | Nurse Anesthetist, Certified Registered | 2620 Satellite Blvd, Duluth, GA 30096-1204 | 2006-03-21 |
| 1386250454 | Erin Elizabeth Kukowski | Nurse Anesthetist, Certified Registered | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-09-23 |
| 1083246136 | Kristin L Schomburg | Nurse Anesthetist, Certified Registered | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-02-06 |
| 1316598949 | David Lloyd Johnson | Nurse Anesthetist, Certified Registered | 915 E 1st St, Duluth, MN 55805-2107 | 2019-09-25 |
| 1962050906 | Brandon S Percival | Nurse Anesthetist, Certified Registered | 400 E Third Street, Duluth, MN 55805-1951 | 2019-09-03 |
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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.