SUSAN MARY NICKERSON (NPI# 1811163884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811163884 |
| Entity Type | Individual |
| Full Name | SUSAN MARY NICKERSON |
| Practice Address |
239 Koch Rd Corte Madera CA 94925 |
| Mailing Address |
239 Koch Rd Corte Madera CA 94925-1265 |
| Practice Telephone | 3102944441 |
| Mailing Telephone | 4158928115 |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-12-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | NA3728 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306394515 | Susan Nickerson | Occupational Therapist | 14 Richards St, Billerica, MA 01821-1310 | 2016-09-15 |
| Street Address |
239 KOCH RD |
| City | CORTE MADERA |
| State | CA |
| Zip Code | 94925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386139061 | California Center for Ms and Neurology Inc | Psychiatry & Neurology | 21 Tamal Vista Blvd Ste 175, Corte Madera, CA 94925 | 2018-06-26 |
| 1982130514 | Summer Nipomnick | Psychologist | 200 Tamal Plaza, Suite 235, Corte Madera, CA 94925 | 2017-05-02 |
| 1376784561 | Marcie Morton | Chiropractor | 2 Fifer Ave Ste 130, Corte Madera, CA 94925 | 2009-03-17 |
| 1154598365 | Kristine Kay Twite Lehnen | Registered Nurse | 42 Creekside Ct, Corte Madera, CA 94925 | 2008-05-15 |
| 1225150485 | Noreen P Dunnigan | Marriage & Family Therapist | 200 Tamal Plaza, Ste 135, Corte Madera, CA 94925 | 2007-04-06 |
| 1356477889 | Rochelle L Teising | Marriage & Family Therapist | 100 Tamal Vista, #160, Corte Madera, CA 94925 | 2007-02-26 |
| 1518019181 | Lynne Harris | Psychologist | 100 Tamal Plaza, Suite 108, Corte Madera, CA 94925 | 2007-01-17 |
| 1801975032 | Julie B Young | Dentist | 81 Casa Buena, Suite 6, Corte Madera, CA 94925 | 2006-11-06 |
| 1033294020 | Ann Margaret O'hare | Internal Medicine | 155 Golden Hind Passage, Corte Madera, CA 94925 | 2006-10-26 |
| 1093801821 | Heidi Klein Minnick | Psychologist | 21 Tamal Vista Blvd., Suite 218, Corte Madera, CA 94925 | 2006-10-05 |
| Find all providers in zip 94925 | ||||
| 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 |
|---|---|---|---|---|
| 1720687395 | Anesthesia First, Inc | Nurse Anesthetist, Certified Registered | 1332 W Herndon Ave Ste 102, Fresno, CA 93711-7118 | 2020-10-23 |
| 1659970580 | Twilight Nursing Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | 1247 W Bloomwood Rd, Rancho Palos Verdes, CA 90275-1937 | 2020-10-21 |
| 1881201432 | Edc Anesthesia Nursing PC | Nurse Anesthetist, Certified Registered | 72301 Country Club Drive, Suite 101, Rancho Mirage, CA 92270-8007 | 2020-09-28 |
| 1720697501 | Elizabeth Diane Doty | Nurse Anesthetist, Certified Registered | 235 N Conejo School Rd Apt 116, Thousand Oaks, CA 91362-2676 | 2020-07-28 |
| 1447868013 | Matthew Shirts | Nurse Anesthetist, Certified Registered | 6713 E Princeton Ave, Fresno, CA 93727-1441 | 2020-07-20 |
| 1730797705 | Ryan James Tobin | Nurse Anesthetist, Certified Registered | 1786 El Paso Ave, Clovis, CA 93611-6601 | 2020-07-16 |
| 1922626167 | Ileana Lopez | Nurse Anesthetist, Certified Registered | 388 E Ocean Blvd Unit 702, Long Beach, CA 90802-5264 | 2020-07-13 |
| 1154946085 | Brianna Koty | Nurse Anesthetist, Certified Registered | 1611 Greenwood Ave, Torrance, CA 90503-6134 | 2020-06-16 |
| 1962025973 | Franesei Crna A Nursing Corporation Inc | Nurse Anesthetist, Certified Registered | 2601 W Alameda Ave Ste 312, Burbank, CA 91505-4812 | 2020-05-26 |
| 1144858028 | Dennis Casanova Colon | Nurse Anesthetist, Certified Registered | 547 E Weldon Ave, Fresno, CA 93704-6031 | 2020-03-27 |
| Find all providers with the same taxonomy | ||||
| City | CORTE MADERA |
| Zip Code | 94925 |
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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.