SUSAN VAN NORDHEIM (NPI# 1841304508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841304508 |
| Entity Type | Individual |
| Full Name | SUSAN VAN NORDHEIM |
| Other Name | SUSAN HUDSON ABBOTT |
| Credential | NP |
| Practice Address |
5555 Grossmont Center Drive La Mesa CA 91942 |
| Practice Telephone | 6197406000 |
| Practice Fax Number | 6197404213 |
| Mailing Telephone | 6197406000 |
| Mailing Fax Number | 6197404213 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2015-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP13296 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP13296 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5555 GROSSMONT CENTER DRIVE |
| City | LA MESA |
| State | CA |
| Zip Code | 91942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285693424 | James Bernard Carry II | Pathology | 5555 Grossmont Center Drive, La Mesa, CA 91944-0158 | 2006-03-17 |
| 1023545779 | Dustin Trong Nguyen | Pharmacist | 5555 Grossmont Center Drive, A217, La Mesa, CA 91942 | 2017-05-12 |
| 1164794673 | Mohamed Hassanein | Internal Medicine | 5555 Grossmont Center Drive, La Mesa, CA 91942 | 2012-01-30 |
| 1487795811 | Hung Vu | Emergency Medicine | 5555 Grossmont Center Drive, La Mesa, CA 91942-3019 | 2007-02-09 |
| 1699783233 | Donald J Butera | Emergency Medicine | 5555 Grossmont Center Drive, La Mesa, CA 91942-3019 | 2006-08-03 |
| 1871526327 | William J Linnik | Emergency Medicine | 5555 Grossmont Center Drive, La Mesa, CA 91942-3019 | 2006-07-08 |
| 1841220860 | Kellie Freeborn | Emergency Medicine | 5555 Grossmont Center Drive, La Mesa, CA 91942-3019 | 2006-07-04 |
| 1144258963 | Joseph Witkin | Emergency Medicine | 5555 Grossmont Center Drive, La Mesa, CA 91942-3019 | 2006-06-29 |
| 1811924764 | Kevin M. Kelly Jr. | Emergency Medicine | 5555 Grossmont Center Drive, La Mesa, CA 91942-3019 | 2006-06-27 |
| 1467496265 | Peter Colaprete | Emergency Medicine | 5555 Grossmont Center Drive, La Mesa, CA 91942-3019 | 2006-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154037 | Mary Ann Pimentel Loyola | Nurse Practitioner | 8851 Center Dr Ste 505, La Mesa, CA 91942-3059 | 2019-03-22 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1174918585 | John Danjuma Adeiza | Nurse Practitioner | 4579 Maple Ave Ste 1, La Mesa, CA 91941-3154 | 2015-04-02 |
| 1740613819 | Teresa Grace Gieszl | Nurse Practitioner | 8860 Center Dr Ste 240, La Mesa, CA 91942-7000 | 2013-08-13 |
| 1427602101 | Ariana Castro | Nurse Practitioner | 4579 Maple Ave Ste 1, La Mesa, CA 91941-3154 | 2019-07-30 |
| 1053881003 | Cctc Investments | Nurse Practitioner | 4579 Maple Ave Ste 1, La Mesa, CA 91941-3154 | 2018-12-03 |
| 1134699341 | Tobon Chung, Inc | Nurse Practitioner | 4579 Maple Ave Ste 1, La Mesa, CA 91941-3154 | 2018-11-29 |
| 1154771996 | Francine Chu | Nurse Practitioner | 5290 Baltimore Dr, La Mesa, CA 91942-2080 | 2016-06-13 |
| 1932564309 | Petra Coronado | Nurse Practitioner | 10862 Calle Verde, La Mesa, CA 91941-7340 | 2015-12-29 |
| 1578948089 | Kimberly Donghee Lee | Nurse Practitioner | 8860 Center Dr Ste 400, La Mesa, CA 91942-7003 | 2015-07-26 |
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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.