MRS. SUZANNE W. KENRICK (NPI# 1942401476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942401476 |
| Entity Type | Individual |
| Full Name | MRS. SUZANNE W. KENRICK |
| Credential | CTRS |
| Practice Address |
Vamc 1freedom Way Augusta GA 30904 |
| Mailing Address |
762 Winyah Dr North Augusta SC 29841-2029 |
| Practice Telephone | 7067330188 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
VAMC 1FREEDOM WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851592380 | Valerie A Mcnary | Recreation Therapist | Vamc, 1 Freedom Way, Augusta, GA 30904-6285 | 2007-05-31 |
| 1871537969 | Ronald Randolph Radford | Social Worker | Vamc, 1 Freedom Way, Augusta, GA 30904-6285 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396822961 | Cindi Meeks | Recreation Therapist | 1742 Wycliffe St, Augusta, GA 30904-5220 | 2006-11-01 |
| 1932218591 | Sharon Denise Whitten | Recreation Therapist | 1 Freedom Way # 276, Augusta, GA 30904-6258 | 2006-08-29 |
| 1487253217 | Kelsey Shull | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-22 |
| 1134726631 | Rebecca Leigh Halioua | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-10-07 |
| 1104448893 | Mary Elizabeth Coward | Recreation Therapist | 950 15th St, Augusta, GA 30901-2608 | 2020-05-15 |
| 1760819205 | John Phillip Joe | Recreation Therapist | One Freedom Way, Augusta, GA 30904-6285 | 2013-09-30 |
| 1063752434 | Tommy Eric Harris | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2013-02-22 |
| 1851592380 | Valerie A Mcnary | Recreation Therapist | Vamc, 1 Freedom Way, Augusta, GA 30904-6285 | 2007-05-31 |
| 1386720225 | Gary Lentz | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2006-10-31 |
| 1063424455 | William Allen Johnson Jr. | Recreation Therapist | 1 Freedom Way, Augusta, GA 30904-6258 | 2006-08-13 |
| Find all providers in AUGUSTA | ||||
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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.