MRS. SUSAN BLAISDELL SCRIVEN (NPI# 1811983430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811983430 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN BLAISDELL SCRIVEN |
| Credential | CRNP |
| Practice Address |
240 W 11th St Suite 102 Erie PA 16501-1758 |
| Mailing Address |
240 W 11th St Erie PA 16501-1758 |
| Practice Telephone | 8144534718 |
| Mailing Telephone | 8144534718 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2012-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
UP-001225_B | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK | BA1994212 | 01 |
| Street Address |
240 W 11TH ST SUITE 102 |
| City | ERIE |
| State | PA |
| Zip Code | 16501-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326401761 | Andromeda Fair | Registered Nurse | 240 W 11th St, Suite 102, Erie, PA 16501-1758 | 2016-04-02 |
| 1538566302 | Amanda Mihalak | Speech-Language Pathologist | 240 W 11th St, Suite 402, Erie, PA 16501-1758 | 2014-11-21 |
| 1932505286 | Adagio Health Inc. | Nutritionist | 240 W 11th St, Suite N, Erie, PA 16501-1758 | 2014-11-14 |
| 1629492087 | Carla L Rzepka | Physical Therapist | 240 W 11th St, Suite 402, Erie, PA 16501-1758 | 2014-02-05 |
| 1154750933 | Kathryn Wawrzyniak | Occupational Therapist | 240 W 11th St, Suite 402, Erie, PA 16501-1758 | 2013-11-02 |
| 1396089850 | Ashley Marie Rabell | Occupational Therapist | 240 W 11th St, Suite 402, Erie, PA 16501-1758 | 2012-11-20 |
| 1225385693 | Myriam Elkosseifi | Internal Medicine | 240 W 11th St, Erie, PA 16501-1758 | 2012-08-05 |
| 1063778785 | Jennifer E Davis | Occupational Therapist | 240 W 11th St, Suite 401, Erie, PA 16501-1758 | 2012-04-06 |
| 1952607871 | Renee Caryl | Dietitian, Registered | 240 W 11th St, Second Floor, Erie, PA 16501-1758 | 2011-02-10 |
| 1588960934 | Metabolic Disease Associates | Clinic/Center | 240 W 11th St, Second Floor, Erie, PA 16501-1758 | 2011-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306496872 | Maureen Grady | Physician Assistant | 240 West 11th Street, Suite 2, Erie, PA 16501 | 2019-09-17 |
| 1093291023 | Passavant Development Corporation | Pharmacy | 1611 Peach St Ste 400, Erie, PA 16501 | 2018-07-12 |
| 1073043675 | Stephanie Owens | Specialist/Technologist | 211 West 8th Street, Erie, PA 16501 | 2017-06-15 |
| 1114335130 | Julia Campbell | Occupational Therapist | 207 W. 11th. St., Suite 402, Erie, PA 16501 | 2014-07-23 |
| 1669766481 | Seth David Fox | Ophthalmology | 128 West 12 St, Ste 200, Erie, PA 16501 | 2011-06-09 |
| 1336438910 | Maryna Petrasheuskaya | Dentist | 1611 State Street, 465, Erie, PA 16501 | 2011-04-04 |
| 1891092565 | Amber Leann Allshouse | Counselor | 1602 State St Ste 390, Erie, PA 16501 | 2011-02-16 |
| 1225331986 | Jennifer Marie Kuzmin | Counselor | 1001 State St Ste 1409, Erie, PA 16501 | 2010-12-17 |
| 1093026510 | Community Health Net | Pharmacy | Daniel S. Snow M.d. Health Center, 1202 State Street, Erie, PA 16501 | 2010-06-30 |
| 1467634113 | Chester Francis Battersby Sr. | Chiropractor | 265 West 10th St, Erie, PA 16501 | 2007-12-04 |
| Find all providers in zip 16501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619715 | Jonathan Thomas | Nurse Practitioner | 1419 Flannagan Ct, Erie, CO 80516-6941 | 2020-11-08 |
| 1255957833 | Nathan Stuart Kerr | Nurse Practitioner | 5043 Peach St, Erie, PA 16509-2032 | 2020-06-19 |
| 1639701428 | Tammy Lynn Black | Nurse Practitioner | 2323 Edinboro Rd, Erie, PA 16509-3476 | 2020-02-10 |
| 1104460518 | Elena Kovalevich | Nurse Practitioner | 333 State St Ste 102, Erie, PA 16507-1466 | 2019-10-30 |
| 1699333419 | Nicole Elizabeth Zmijewski | Nurse Practitioner | 2090 Matty Dr, Erie, MI 48133-9370 | 2019-06-05 |
| 1104390368 | Liqin Zhang | Nurse Practitioner | 1163 Mircos St, Erie, CO 80516-5408 | 2019-01-21 |
| 1003390444 | Tatyana Kryachkov | Nurse Practitioner | 3250 W Lake Rd., Suite 2, Erie, PA 16505-3691 | 2018-09-21 |
| 1487134664 | Jennifer Bechard Marshall | Nurse Practitioner | 411 Pleades Pl, Erie, CO 80516-2568 | 2018-08-17 |
| 1902315476 | Elizabeth Ann Shedd | Nurse Practitioner | 2303 Dogwood Drive, Erie, CO 80516 | 2017-09-27 |
| 1619414331 | Chad Burns | Nurse Practitioner | 3002 W 11th St, Erie, PA 16505-3904 | 2017-01-20 |
| Find all providers in ERIE | ||||
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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.