SUSAN ADAMS (NPI# 1922004332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922004332 |
| Entity Type | Individual |
| Full Name | SUSAN ADAMS |
| Credential | RN, APN |
| Practice Address |
1600 E Jackson St Macomb IL 61455-2530 |
| Mailing Address |
Po Box 1179 Macomb IL 61455-5579 |
| Practice Telephone | 3098334101 |
| Mailing Telephone | 3098334101 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2015-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209004534 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PART A | 148952 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1811373764 | Susan S Adams | Dentist | 1321 Veterans Blvd, Festus, MO 63028-2329 | 2015-08-03 |
| 1407145980 | Susan L. Adams | Clinic/Center | 35 Fairfield Pl, West Caldwell, NJ 07006-6206 | 2011-04-05 |
| 1861685737 | Susan Adams | Speech-Language Pathologist | 1900 Midland Trl Ste 1&2, Shelbyville, KY 40065-8141 | 2007-08-23 |
| 1508059064 | Susan Rae Adams | Counselor | 2329 College Ave, Conway, AR 72034-6225 | 2007-08-19 |
| 1245437268 | Susan Kaye Adams | Speech-Language Pathologist | 25065 Sanborn Rd, Calhan, CO 80808-8510 | 2007-07-02 |
| 1003035734 | Susan Gail Adams | Nurse Practitioner | 1905 Barnett Shoals Rd, Athens, GA 30605-3625 | 2007-04-24 |
| 1487796926 | Susan A Adams | Counselor | 225 W Hickory St, Suite C-3, Denton, TX 76201-4123 | 2007-02-13 |
| 1508958851 | Susan K Adams | Social Worker | 16729 E Palisades Blvd, Unit 102, Fountain Hills, AZ 85268-4187 | 2006-09-28 |
| 1619073632 | Susan Mezger Adams | Chiropractor | 3167 Custer Dr, Suite 202, Lexington, KY 40517-4018 | 2006-09-16 |
| Street Address |
1600 E JACKSON ST |
| City | MACOMB |
| State | IL |
| Zip Code | 61455-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374306 | Charlotte Jean Clark | Pharmacist | 1600 E Jackson St, Macomb, IL 61455-2530 | 2020-10-22 |
| 1467050401 | Kassandra Mason | Pharmacist | 1600 E Jackson St, Macomb, IL 61455-2530 | 2020-10-13 |
| 1942676192 | Andrea Ruth Thompson | Dietitian, Registered | 1600 E Jackson St, Macomb, IL 61455-2530 | 2015-08-11 |
| 1215332226 | Brittany Figge | Dietitian, Registered | 1600 E Jackson St, Macomb, IL 61455-2530 | 2014-11-03 |
| 1245634963 | Krystal Leigh Nelson | Nurse Practitioner | 1600 E Jackson St, Macomb, IL 61455-2530 | 2014-10-09 |
| 1336436765 | Mcdonough County Hospital District | Clinic/Center | 1600 E Jackson St, Macomb, IL 61455-2530 | 2011-07-06 |
| 1154516193 | Jennifer Soucie | Dietitian, Registered | 1600 E Jackson St, Macomb, IL 61455-2530 | 2007-09-12 |
| 1811014335 | Michael Clayton Burgard | Pharmacist | 1600 E Jackson St, Macomb, IL 61455-2530 | 2007-03-22 |
| 1679502462 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 1600 E Jackson St, Macomb, IL 61455-2530 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869944 | Wesley Village, Inc | Speech-Language Pathologist | 1200 East Grant Street, Macomb, IL 61455 | 2019-09-04 |
| 1780154013 | Hannah Lauren Bengtson | Optometrist | 820 E. Jackson St., Macomb, IL 61455 | 2018-11-29 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1821516816 | Michelle Deann Sargeant | Speech-Language Pathologist | 315 N. Bonham, Macomb, IL 61455 | 2017-08-30 |
| 1972020360 | Kara Marie Wright | Speech-Language Pathologist | 315 N. Bonham St., Macomb, IL 61455 | 2017-08-25 |
| 1720356504 | Dawn M. Kedzior | Social Worker | 103 South Johnson Street, Macomb, IL 61455 | 2011-12-07 |
| 1255632642 | Michael Kurt Sharp | Audiologist | Memorial Hall, Second Floor, W Murray St, Macomb, IL 61455 | 2010-11-16 |
| 1952538704 | Mary L. Smith | Developmental Therapist | 1 University Circle, Western Il Univ, Cntr for Best Practices In Early Childhood Education, Macomb, IL 61455 | 2009-06-19 |
| 1982857827 | Macomb Oncology Institute Ltd | Radiology | 401 East Grant Street, Macomb, IL 61455 | 2008-10-23 |
| 1245488345 | Sonja E Schmidt | Social Worker | 119 Wetzel Hall, Western Illinois University, Macomb, IL 61455 | 2008-09-03 |
| Find all providers in zip 61455 | ||||
| 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 |
|---|---|---|---|---|
| 1629687785 | Catherine Therese Ensworth | Nurse Practitioner | 50721 Pinnacle Woods Ln, Macomb, MI 48042-5535 | 2020-07-24 |
| 1831734433 | Heather Daiza | Nurse Practitioner | 45649 Heather Ridge Dr, Macomb, MI 48044-4073 | 2019-11-07 |
| 1366092884 | Dana Marie Tozzi | Nurse Practitioner | 20264 Alexander Dr, Macomb, MI 48044-5939 | 2019-09-17 |
| 1821561838 | Francesca Vallin Qualls | Nurse Practitioner | 18048 Crystal River Dr, Macomb, MI 48042-6177 | 2019-01-03 |
| 1295224517 | Laura Maranville | Nurse Practitioner | 433 N Johnson St, Macomb, IL 61455-1420 | 2018-05-02 |
| 1861817348 | Lena Antoski | Nurse Practitioner | 56491 Broadmoor Ln, Macomb, MI 48042-1193 | 2014-02-20 |
| 1174087829 | Bashar Sileewa | Nurse Practitioner | 21840 23 Mile Rd, Macomb, MI 48042-4422 | 2019-01-28 |
| 1144694290 | Kelly Scott | Nurse Practitioner | 15959 Hall Rd, #104, Macomb, MI 48044-5363 | 2015-11-30 |
| 1376920819 | Lawrence Holloway IIi | Nurse Practitioner | 46591 Romeo Plank Rd Ste 133, Macomb, MI 48044-5705 | 2015-05-05 |
| 1730515578 | Kirsten Diane Clerkin | Nurse Practitioner | 505 E Grant St, Macomb, IL 61455-3352 | 2013-09-25 |
| Find all providers in MACOMB | ||||
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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.