MRS. SUSAN YVONNE PELLETIER (NPI# 1629409198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629409198 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN YVONNE PELLETIER |
| Other Name | MS. SUSAN YVONNE SHIPMAN |
| Practice Address |
1600 Central Drive Suite 157 Bedford TX 76022 |
| Practice Telephone | 8172670909 |
| Practice Fax Number | 8172831868 |
| Mailing Telephone | 8172670909 |
| Mailing Fax Number | 8172831868 |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 101300 | TX | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578903779 | Susan Marie Pelletier | Massage Therapist | 721 Lakeview Rd, Suite E, Clearwater, FL 33756-3422 | 2013-07-02 |
| 1669998597 | Susan Pelletier | Marriage & Family Therapist | 15116 S Gibson Ave, East Rancho Dominguez, CA 90221-3106 | 2017-08-22 |
| Street Address |
1600 CENTRAL DRIVE SUITE 157 |
| City | BEDFORD |
| State | TX |
| Zip Code | 76022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155754 | Jacquelyn H Holloway | Registered Nurse | 820 Uptown Blvd, Bedrord, TX 76022 | 2020-08-18 |
| 1861972556 | Red Diamond Medical Group Pllc | Internal Medicine | 2700 Tibbets Dr # 301, Bedford, TX 76022 | 2018-08-21 |
| 1649761958 | Florine Karimi Mati | Behavioral Analyst | 1413 Tennis Dr, Bedford, TX 76022 | 2018-05-22 |
| 1760836704 | Healing Hands Senior Care Service | Technician | 1152 High Point Rd., Bedford, TX 76022 | 2016-04-15 |
| 1972965283 | Emily Vandoren | Physical Therapist | 1705 Forest Ridge Drive, Bedford, TX 76022 | 2016-03-25 |
| 1396123949 | Decorla Holmes | Adult Companion | 1152 Highpoint Rd., Bedford, TX 76022 | 2015-05-15 |
| 1649565953 | Alisa Thamwiwat | Internal Medicine | 1604 Hospital Pkwy Ste 301, Bedford, TX 76022 | 2011-06-15 |
| 1528227576 | Ft. Worth Home Care Inc | Home Health | 1600 Airport Freeway, Suite 503, Bedford, TX 76022 | 2008-06-05 |
| 1225242886 | Bedford Family Medicine, Pa | Family Medicine | 1701 Forest Ridge Dr., Bedford, TX 76022 | 2007-05-10 |
| 1841410024 | Thomas Edward Lyles IIi | Internal Medicine | 1600 Central Dr Ste 155, Bedford, TX 76022 | 2007-04-27 |
| Find all providers in zip 76022 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889005 | Clinical Tissue Technologies LLC | Durable Medical Equipment & Medical Supplies | 2921 Brown Trl # 101, Bedford, TX 76021-4144 | 2020-10-19 |
| 1871080630 | Caring Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 5311 Northfield Rd Ste 201, Bedford, OH 44146-1135 | 2018-04-17 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1548667447 | Acg Medical Supply Incorporated | Durable Medical Equipment & Medical Supplies | 2101 Harwood Rd, Ste 126, Bedford, TX 76021-4708 | 2014-11-21 |
| 1932513611 | Advoclaim, LLC | Durable Medical Equipment & Medical Supplies | 1 Hardy Rd, Suite 228, Bedford, NH 03110-4915 | 2014-06-20 |
| 1508143520 | Mattshow Inc. | Durable Medical Equipment & Medical Supplies | 22939 Broadway Ave, Bedford, OH 44146-6068 | 2011-11-04 |
| 1952683138 | Equipment Shop Inc. | Durable Medical Equipment & Medical Supplies | 34 Hartford St, Bedford, MA 01730-2246 | 2011-09-14 |
| 1093964983 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 4 Jenkins Rd, Bedford, NH 03110-5038 | 2008-09-16 |
| 1124218383 | Marlen Mfg. & Development Company | Durable Medical Equipment & Medical Supplies | 5150 Richmond Rd, Bedford, OH 44146-1331 | 2007-07-25 |
| 1831262369 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 2109 Harwood Rd, Bedford, TX 76021-4705 | 2006-11-15 |
| Find all providers in BEDFORD | ||||
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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.