MS. SUSAN E DAVIS (NPI# 1912164047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912164047 |
| Entity Type | Individual |
| Full Name | MS. SUSAN E DAVIS |
| Credential | RN |
| Practice Address |
N6716 Lake Lorraine Rd Delavan WI 53115-2503 |
| Practice Telephone | 6088832176 |
| Mailing Telephone | 6088832176 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 309441031 | WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 35059300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831742196 | Susan Ann Davis | Community/Behavioral Health | 362 Patton Ave, Cheyenne, WY 82007-1183 | 2019-07-16 |
| 1629639349 | Susan E Davis | Dentist | 707 Us Highway 24 N, Buena Vista, CO 81211-9863 | 2019-06-24 |
| 1639739980 | Susan Jean Davis | Psychiatry & Neurology | 4817 Medical Center Dr # 3a, Mckinney, TX 75069-1886 | 2019-06-18 |
| 1932768348 | Susan Rae Davis | Nurse Practitioner | 3800 S Ocean Dr Suite 209, Hollywood, FL 33019-6614 | 2019-06-10 |
| 1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
| 1568826493 | Susan Angeline Davis | Obstetrics & Gynecology | 2813 Hillcrest Ave, Augusta, GA 30909-3815 | 2016-04-06 |
| 1578928313 | Susan Melanie Davis | Counselor | 1254 Big Talk Ct, San Jose, CA 95120-3910 | 2015-12-21 |
| 1497126882 | Susan Kathryn Davis | Counselor | 2519 E Ellendale Ave, Dallas, OR 97338-9575 | 2015-10-12 |
| 1942605654 | Susan Davis | Registered Nurse | 634 Saint Marks St, Suite B, Redding, CA 96003-2553 | 2014-10-24 |
| 1528468022 | Susan Davis | Registered Nurse | 9648 Parramatta Pl, Highlands Ranch, CO 80130-7156 | 2014-09-03 |
| Street Address |
N6716 LAKE LORRAINE RD |
| City | DELAVAN |
| State | WI |
| Zip Code | 53115-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871049486 | Careatc - Andes Candies | Clinic/Center | 1400 E. Eisconsin, Delavan, WI 53115 | 2016-09-01 |
| 1407255797 | Jill Catherine Adams | Contractor | N44556 Dam Rd, Delavan, WI 53115 | 2014-08-22 |
| 1487930350 | Sheryl Jacobson | Pharmacist | 445 S Wright Street, Delavan, WI 53115 | 2011-10-24 |
| 1407152556 | Cannula Ear Cozy LLC | Durable Medical Equipment & Medical Supplies | N2444 Doris St., Delavan, WI 53115 | 2011-02-08 |
| 1710172630 | Timothy J Rasmussen LLC | Chiropractor | 1407 Racine St, Suite D, Delavan, WI 53115 | 2007-09-13 |
| 1407065873 | Debora Lee Nevermann | Physical Therapist | 824 B East Geneva Street, Delavan, WI 53115 | 2007-05-22 |
| 1740493006 | Karen St John | Physical Therapy Assistant | 905 East Geneva Street, Delavan, WI 53115 | 2007-05-07 |
| 1043430390 | Kristin M Grenier | Physical Therapy Assistant | 824 B East Geneva St, Delavan, WI 53115 | 2007-04-27 |
| 1891852034 | Maria Teresa Galgano Chadha | Dentist | 608 E Walworth Ave, Delavan, WI 53115 | 2007-01-03 |
| 1942396718 | Clifford Robert Poplar | Internal Medicine | 915 Geneva Street, Delavan, WI 53115 | 2006-10-05 |
| Find all providers in zip 53115 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1245795186 | Erin Toireasa Kilkenny | Licensed Practical Nurse | 711 Burr Oak Ct, Delavan, WI 53115-1229 | 2019-02-05 |
| 1992297774 | Marcia Joan Kooiman | Licensed Practical Nurse | N3187 Elm Ridge Rd, Delavan, WI 53115-3104 | 2018-06-06 |
| 1235657685 | Mari-lyn Ellena Lynch | Licensed Practical Nurse | 603 Phoenix St, Delavan, WI 53115-2227 | 2017-09-06 |
| 1184142523 | Natasha Marie Garza | Licensed Practical Nurse | 508 N Terrace St, Delavan, WI 53115-1006 | 2017-09-06 |
| 1679098867 | Demi Randall | Licensed Practical Nurse | W7530 Shorewood Ter, Delavan, WI 53115-2662 | 2017-08-08 |
| 1497161616 | Emily Williams | Licensed Practical Nurse | 5167 Bailey Rd, Delavan, WI 53115-3796 | 2014-07-08 |
| 1962654202 | Vicki Lee Soderberg | Licensed Practical Nurse | W7955 Creek Rd Trlr 402, Delavan, WI 53115-3181 | 2008-10-17 |
| 1851564876 | Barbara Ann Agnew | Licensed Practical Nurse | 70 Franklin St, Delavan, WI 53115-1038 | 2008-04-10 |
| 1013971183 | Sarah Beth Bassett | Licensed Practical Nurse | 213 N 7th St, Delavan, WI 53115-1219 | 2006-04-14 |
| 1104885078 | Tiffany Dawn Ogg | Licensed Practical Nurse | 53 E Walworth Ave, Delavan, WI 53115-1115 | 2006-03-21 |
| Find all providers in DELAVAN | ||||
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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.