Susan Kahle Babcock, R.N.

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

RN 00154811 Issued in WA

Practice address

3020 Rucker Ave
Suite 108
Everett, WA 98201-3900

Phone

(425) 339-5220

Fax

(425) 339-5222

NPI assigned

Feb 11, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1831338094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 RUCKER AVE",
            "address_2": "SUITE 108",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013900",
            "telephone_number": "425-339-5220",
            "fax_number": "425-339-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 RUCKER AVE",
            "address_2": "SUITE 108",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013900",
            "telephone_number": "425-339-5220",
            "fax_number": "425-339-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "SUSAN",
        "middle_name": "KAHLE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "WA",
            "license": "RN 00154811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B3 Physical Therapy and Wellness, PLLC
• Gary K. Baal, PA-C
• Damandip Kaur Baath
• Caitlin Lavonne Babcock, AAC-R
• Sean Tyler Babcock
• Chloe Loraine Bacik, RN, CDCES
• Back to Health Physical Therapy, Inc
• Lauren Backholm
• Michael Bacon, DDS
• Ashley Taylor Bacy, BS

• Ambulatory Care Registered Nurse in Everett, WA
• Providers in Everett, WA by specialty
• Ambulatory Care Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.