SUZANNE WALLER (NPI# 1790188662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790188662 |
| Entity Type | Individual |
| Full Name | SUZANNE WALLER |
| Credential | BSN, RN |
| Practice Address |
1395 Eisenhower Dr Savannah GA 31406-3901 |
| Mailing Address |
150 Scranton Connector Brunswick GA 31525-0540 |
| Practice Telephone | 9123562157 |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN9378531 | FL | Nursing Service Providers |
| Y | 163W00000X | Registered Nurse | RN222435 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891903530 | Suzanne Waller | Counselor | 309 Pirkle Ferry Rd, A 400, Cumming, GA 30040-2545 | 2007-05-18 |
| Street Address |
1395 EISENHOWER DR |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932157880 | Michael Todd Adams | Surgery | 1395 Eisenhower Dr, Savannah, GA 31406-3905 | 2006-05-04 |
| 1104465947 | Rushena Michelle Garner | Registered Nurse | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2019-12-26 |
| 1689213407 | Heidi K Burgan | Registered Nurse | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2019-12-26 |
| 1538716394 | Cassandra Perisee | Registered Nurse | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2019-08-26 |
| 1801357710 | Rayonna Phillips | Registered Nurse | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2019-03-26 |
| 1104384627 | Marcy Mitchell | Registered Nurse | 1395 Eisenhower Dr, Savannah, GA 31406 | 2019-03-04 |
| 1205394822 | Pennica Marie Mumford | Registered Nurse | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2019-03-04 |
| 1013496454 | Deanna Lynn Quincy | Registered Nurse | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2018-08-07 |
| 1972092872 | Melissa Anderson Stettler | Licensed Practical Nurse | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2018-05-07 |
| 1194214098 | Michael Joseph Day | Registered Nurse | 1395 Eisenhower Dr, Savannah, GA 31406-3901 | 2018-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362570 | Marval Ketchup | Registered Nurse | 51 Reese Way, Savannah, GA 31419-8440 | 2020-07-03 |
| 1982229209 | Courtney Precious Brown | Registered Nurse | 104 Lakepointe Dr, Savannah, GA 31407-3551 | 2020-06-12 |
| 1902447972 | Sarah Elizabeth Mundy | Registered Nurse | 101 Saint George Blvd Apt 11e, Savannah, GA 31419-9351 | 2019-10-01 |
| 1336606524 | Laura Mcmullen | Registered Nurse | 941 Cotton Exchange Dr, Savannah, TX 76227-7797 | 2019-02-25 |
| 1427513597 | Vivian Ngum Amba Ekeme | Registered Nurse | 936 Hayden Ln, Savannah, TX 76227-7875 | 2019-02-04 |
| 1568970093 | Ashley Andrea Ward-lopez | Registered Nurse | 420 Mall Blvd, Savannah, GA 31406-4888 | 2018-01-18 |
| 1518335322 | Kelli Sandler | Registered Nurse | 18 Misty Marsh Dr, Savannah, GA 31419-9873 | 2015-09-10 |
| 1356748032 | Beverly Weaver | Registered Nurse | 107 B Fahm St., Savannah, GA 31401 | 2014-11-25 |
| 1487051421 | Sparkle Richburg | Registered Nurse | 24 Oglethorpe Professional Blvd Fl 3, Savannah, GA 31406-3613 | 2014-11-19 |
| 1457755100 | Donna Vanhook Corey | Registered Nurse | 1395 Eisenhower Drive, Savannah, GA 31406 | 2014-10-09 |
| Find all providers in SAVANNAH | ||||
Please comment or provide details below to improve the information on SUZANNE WALLER.
| 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.