SUSAN F MIRABELLO (NPI# 1861878571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861878571 |
| Entity Type | Individual |
| Full Name | SUSAN F MIRABELLO |
| Credential | APRN |
| Practice Address |
100 Mcgregor St Manchester NH 03102-3730 |
| Mailing Address |
875 Elm St Apt 507 Manchester NH 03101-2124 |
| Practice Telephone | 6036636478 |
| Practice Fax Number | 6036638015 |
| Mailing Telephone | 6036636478 |
| Mailing Fax Number | 6036638015 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2018-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 056350-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 MCGREGOR ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03102-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659375384 | William Kevin Sullivan | Dentist | 100 Mcgregor St, E-542, Manchester, NH 03102-3730 | 2005-06-10 |
| 1063011294 | Nycol Clough | Nurse Practitioner | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-10-19 |
| 1811594542 | Alexandra Stout | Occupational Therapist | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-10-06 |
| 1457970733 | James Mckenna Jr. | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-04-16 |
| 1760001002 | Kristin Nicole Wilmes | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3730 | 2020-04-15 |
| 1063046191 | Michael Pierce | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-02-27 |
| 1740820315 | Beth Violette | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1487294047 | Jeanne Bailey-clemans | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1902446461 | Bonnie D Ensinger | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1386284032 | Abby L Savard | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3730 | 2020-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054249 | Aaa Home Health LLC | Home Health | 30 Greenview Drive Apt 33, Manchester, NH 03102 | 2020-08-20 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1184119869 | Allison Marie Doherty | Doula | 17 Davignon St, Manchester, NH 03102 | 2018-06-26 |
| 1215311345 | Families In Transition | Counselor | 307 Douglas St, Manchester, NH 03102 | 2015-07-18 |
| 1659626836 | Steven Allen Miller | Nurse Anesthetist, Certified Registered | 88 Mcgregor St Ste 303, Manchester, NH 03102 | 2012-07-13 |
| 1922381144 | Caroline Ilene Ball | Pharmacist | 227 South Main Street, Manchester, NH 03102 | 2011-09-23 |
| 1225343346 | Peter Rella | Pharmacist | 577 Mast Road, Manchester, NH 03102 | 2010-08-12 |
| 1528206042 | Michael E. Dobrowolski Od,pa | Optometrist | 395 So Main Street, Manchester, NH 03102 | 2009-01-22 |
| 1912153487 | Nilsa Marie Jimenez | Internal Medicine | 775 S Main Street, Queen City Medical Associates, Manchester, NH 03102 | 2008-08-14 |
| 1871758060 | Samuel Joffe | Internal Medicine | 100 Mcgregor St Fl B, Manchester, NH 03102 | 2008-07-28 |
| Find all providers in zip 03102 | ||||
| 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 |
|---|---|---|---|---|
| 1144769548 | Lindsay Andronaco | Nurse Practitioner | 159 Frontage Rd, Manchester, NH 03103-6013 | 2017-02-17 |
| 1609242429 | Brandy Nicole Hall | Nurse Practitioner | 201 Morse Rd, Manchester, NH 03104-5723 | 2015-08-16 |
| 1154635407 | Edwards Clinic, Psc | Nurse Practitioner | 204 Town Branch Road, Manchester, KY 40962-1322 | 2010-07-28 |
| 1427241421 | Kimberly D. Mathis | Nurse Practitioner | 1600 Mcarthur Street, Manchester, TN 37355 | 2007-08-22 |
| 1619190212 | Virginia H Bennett | Nurse Practitioner | 223 East Center St, Manchester, CT 06040 | 2007-04-11 |
| 1881733111 | Rosetta Lakes | Nurse Practitioner | 100 S Court St, Manchester, KY 40962-1295 | 2007-02-05 |
| 1316052442 | Karen J Cheek | Nurse Practitioner | 90 Garrard Sq, Manchester, KY 40962-5759 | 2006-08-20 |
| 1275541062 | Diane Estelle Ballard | Nurse Practitioner | 870 Montgomery St, Manchester, NH 03102-2722 | 2006-08-04 |
| 1952347734 | Kristy Taylor | Nurse Practitioner | 9 Blodget St, Manchester, NH 03104 | 2006-06-21 |
| 1417908518 | Cynthia A Martin | Nurse Practitioner | 212 Rosedale Dr, Manchester, PA 17345-1023 | 2006-05-13 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03102 |
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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.