LATICIA SCOTT SUESBERRY (NPI# 1881230845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881230845 |
| Entity Type | Individual |
| Full Name | LATICIA SCOTT SUESBERRY |
| Credential | CERTIFIED HAIR LOSS |
| Practice Address |
4200 W Stan Schlueter Loop Ste B200 Killeen TX 76549-6937 |
| Mailing Address |
803 Hickory Dr Killeen TX 76549-5401 |
| Practice Telephone | 2545547428 |
| Mailing Telephone | 2545547428 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| Street Address |
4200 W STAN SCHLUETER LOOP STE B200 |
| City | KILLEEN |
| State | TX |
| Zip Code | 76549-6937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630191 | Joy Angolo | Registered Nurse | 1403 Chips Drive, Unit A, Killeen, TX 76549 | 2020-05-12 |
| 1215587308 | Jacqueline Nicole Estrella | Nurse Practitioner | Med Options Killeen Nursing Homes, Kileen, TX 76549 | 2019-09-19 |
| 1366924052 | Barbara Ann Vaughn | Licensed Vocational Nurse | 413 Apt A Study Hall Loop, Killeen, TX 76549 | 2018-08-30 |
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1518456961 | Robert Brott | Counselor | 1103west Stan Schuleter Loop, Building A, Suite 100, Killeen, TX 76549 | 2018-05-01 |
| 1922507417 | Family Endeavors, Inc. | Community/Behavioral Health | 1103 West Stan Schlueter Loop, Building A Suite 100, Killeen, TX 76549 | 2018-02-09 |
| 1285143859 | Jennifer Dawn Rothman | Behavioral Analyst | 4506 The Searchers Dr, Killeen, TX 76549 | 2017-09-26 |
| 1700307964 | City of Ennis | Skilled Nursing Facility | 5000 Thayer Dr, Killeen, TX 76549 | 2017-06-28 |
| 1790216190 | Neysa Stegmeyer | Nurse Practitioner | 4102 S. Clear Creek Road, Ste 107, Killeen, TX 76549 | 2017-03-27 |
| 1740721471 | Lspd At Killeen, Pllc | Dentist | 1103 West Stan Schlueter Loop Suite B-800, Killeen, TX 76549 | 2017-03-14 |
| Find all providers in zip 76549 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164081444 | Sabrina Maria Cogborn | Specialist | 5201 S Clear Creek Rd, Killeen, TX 76549-5121 | 2019-06-10 |
| 1124586516 | Latara U Porch | Specialist | 3309 Parkmill Dr, Killeen, TX 76542-6470 | 2019-03-05 |
| 1710494802 | Inspired Designs Hair Salon & Barbershop & Spa LLC | Specialist | 3901 E Stan Schlueter Loop Ste 201, Killeen, TX 76542-4554 | 2018-01-10 |
| 1043723190 | Warnita Foster | Specialist | 3302 Cricklewood Dr, Killeen, TX 76542-6386 | 2017-11-12 |
| 1669920575 | Derina Horton-garcia | Specialist | 3901 E Stan Schlueter Loop, Ste 201, Killeen, TX 76542-4516 | 2016-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364390 | Majoreactions LLC | Specialist | 1628 W Hebron Pkwy Ste 103, Carrollton, TX 75010-6311 | 2020-10-22 |
| 1821602418 | Minty Bea | Specialist | 11070 Katy Fwy Apt 1271, Houston, TX 77043-4765 | 2020-09-01 |
| 1073123543 | Connie Lavonne Reid | Specialist | 216 Abel Dr, Glenn Heights, TX 75154-3862 | 2020-08-08 |
| 1245840933 | Shanikqu Lashun George | Specialist | 1515 N. Towneast Blvd., Suite 19, Mesquite, TX 75150 | 2020-08-06 |
| 1700495835 | Jonesia Melton | Specialist | 210 Highway 3 N Ste B, League City, TX 77573-2132 | 2020-07-24 |
| 1649888223 | Terry Lamont Jackson | Specialist | 1101 E Yandell Dr, El Paso, TX 79902-5524 | 2020-07-20 |
| 1033727656 | Janaye Rachelle White | Specialist | 8413 Almeda Rd Ste Q2, Houston, TX 77054-7103 | 2020-07-20 |
| 1316555022 | Eric Martell Buffington | Specialist | 16811 Fondness Park Dr, Spring, TX 77379-6928 | 2020-07-20 |
| 1720696479 | Younits Custom Wigs LLC | Specialist | 4909 W Park Blvd Ste 157, Plano, TX 75093-2399 | 2020-07-20 |
| 1003432089 | Tamika N Brown | Specialist | 12521 Nacogdoches Rd Ste 106, San Antonio, TX 78217-2117 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
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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.