Susan B Almeida, PA
Individual provider Active NPI Physician Assistant · Coeur D Alene, ID
NPI 1518911981 · NPPES record last updated May 16, 2008
Key facts
- NPI
- 1518911981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA-114 (ID)
- Practice address
- 1090 W Park PL
Coeur D Alene, ID 83814-2785 - Phone
- (208) 664-5174
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-114 | ID | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-114 | ID | Yes |
Addresses
Primary practice location
1090 W Park PL
Coeur D Alene, ID 83814-2785
Mailing address
PO Box 34584
Seattle, WA 98124-1584
Phone (509) 241-7634
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8051934 | Medicaid | ID |
Other providers in Coeur D Alene, ID
- Alliance Family Services
- Alliance Family Services North
- Alliance Family Services North, Inc.
- Kristina Allred
- Alma Meadows L.L.C.
- Veronica Kay Alotta
- Alpha Counseling
- Alpine Hospice & Palliative Care LLC
- Alternative Community Enrichment Services
- Alternative Community Enrichment Services
All providers in Coeur D Alene, ID · Physician Assistant in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.