SUSAN SEYDOR NELSON (NPI# 1922005651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922005651 |
| Entity Type | Individual |
| Full Name | SUSAN SEYDOR NELSON |
| Other Name | SUSAN SEYDOR |
| Credential | NP |
| Practice Address |
2101 Ken Pratt Blvd Ste 200 Longmont CO 80501-6568 |
| Mailing Address |
Po Box 911057 Denver CO 80291-1057 |
| Practice Telephone | 3036493500 |
| Practice Fax Number | 3036493501 |
| Mailing Telephone | 8009530104 |
| Mailing Fax Number | 3037656640 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2019-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN.0056543 | CO | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0000027-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 07565435 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315657 | Susan Barbara Nelson | Counselor | 20145 Excelsior Blvd, Shorewood, MN 55331-8730 | 2020-10-31 |
| 1952707119 | Susan Nelson | Counselor | 1317 N San Patricio St, Goliad, TX 77963-3948 | 2014-11-14 |
| 1376985598 | Susan Nelson | Lactation Consultant, Non-RN | 7102 Rusty Fig Dr, Austin, TX 78750-8322 | 2013-07-29 |
| 1023309697 | Susan Elizabeth Nelson | Occupational Therapist | 24881 Alicia Parkway, Suite E501, Laguna Hills, CA 92653 | 2011-04-29 |
| 1023298767 | Susan Collett Nelson | Social Worker | 6180 El Camino Dr, Pollock Pines, CA 95726-9241 | 2007-11-09 |
| 1750482121 | Susan Elaine Nelson | Nurse Practitioner | 301 N 8th St # 4b, Springfield, IL 62701-1041 | 2006-09-26 |
| 1073620720 | Susan Nelson | Nurse Practitioner | 1701 Gull Rd, Kalamazoo, MI 49048-1609 | 2006-08-25 |
| 1407870553 | Susan F Nelson | Family Medicine | 718 Harbor Bend Rd, Memphis, TN 38103-0888 | 2006-07-26 |
| 1952331472 | Susan J Nelson | Specialist | 716 Elm St, Winnetka, IL 60093-2556 | 2006-07-03 |
| 1669471256 | Susan Ellen Nelson | Internal Medicine | 7436 Bishop Ott Dr, Baton Rouge, LA 70806-8931 | 2005-07-18 |
| Street Address |
2101 KEN PRATT BLVD STE 200 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-6568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184157588 | Danielle Trujillo | Family Medicine | 2101 Ken Pratt Blvd Ste 200, Longmont, CO 80501-6568 | 2017-04-04 |
| 1780047902 | Catholic Health Initiatives Colorado | Pediatrics | 2101 Ken Pratt Blvd Ste 200, Longmont, CO 80501-6568 | 2016-04-04 |
| 1851760557 | James W Sampson | Nurse Practitioner | 2101 Ken Pratt Blvd Ste 200, Longmont, CO 80501 | 2015-09-23 |
| 1790179448 | Colleen Anne Kilcullen | Nurse Practitioner | 2101 Ken Pratt Blvd Ste 200, Longmont, CO 80501 | 2015-03-20 |
| 1740609866 | Alice Marie Vienneau | Social Worker | 2101 Ken Pratt Blvd Ste 200, Longmont, CO 80501-6568 | 2014-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962039172 | Christina Pauline Abbott | Nurse Practitioner | 2125 Sicily Cir, Longmont, CO 80503-4187 | 2020-03-26 |
| 1467981993 | Donna Faye Georje Mchaney | Nurse Practitioner | 903 Reynolds Farm Lane, Longmont, CO 80503 | 2017-06-08 |
| 1790189660 | Shelby Salley Banks | Nurse Practitioner | 4501 Nelson Rd Unit 2104, Longmont, CO 80503-9433 | 2014-10-21 |
| 1306149034 | Amy Sharon Rose | Nurse Practitioner | 408 Coffman St, Longmont, CO 80501-5408 | 2010-12-20 |
| 1982863064 | Jennifer L Allison | Nurse Practitioner | 2144 N Main St, Longmont, CO 80501-8402 | 2008-06-04 |
| 1316115728 | Edna Darlene Hughes | Nurse Practitioner | 408 Coffman, Longmont, CO 80501-5408 | 2008-02-19 |
| 1164480281 | Sheila C Kupersmith | Nurse Practitioner | 2017 100 Yearparty Ct Unit 1, Longmont, CO 80504-8483 | 2006-05-01 |
| 1033767744 | Rebekah Harvey | Nurse Practitioner | 2101 Ken Pratt Blvd, Longmont, CO 80501-6567 | 2019-08-27 |
| 1306292511 | Robin Kotula | Nurse Practitioner | 2345 Bent Way, Longmont, CO 80503 | 2016-05-05 |
| 1851760557 | James W Sampson | Nurse Practitioner | 2101 Ken Pratt Blvd Ste 200, Longmont, CO 80501 | 2015-09-23 |
| Find all providers in LONGMONT | ||||
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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.