MS. EDA SUSAN RENIERI (NPI# 1932285178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932285178 |
Entity Type | Individual |
Full Name | MS. EDA SUSAN RENIERI |
Other Name | MS. EDA SUSAN PEITHMAN |
Credential | MASTECTOMY FITTER |
Practice Address |
517 East Strawbridge Ave Melbourne FL 32901 |
Practice Telephone | 3217289442 |
Practice Fax Number | 3217289440 |
Mailing Telephone | 3217289442 |
Mailing Fax Number | 3217289440 |
Enumeration Date | 2006-10-31 |
Last Update Date | 2020-02-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 224900000X | Mastectomy Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | CIGNA | 44539000 | 01 |
BLUE CROSS BLUE SHIELD FL | M2733 | 01 |
Street Address |
517 EAST STRAWBRIDGE AVE |
City | MELBOURNE |
State | FL |
Zip Code | 32901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
Find all providers in zip 32901 |
Taxonomy Code | 224900000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Mastectomy Fitter |
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. |
Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497353494 | Tarcha Rentz | Mastectomy Fitter | 6019 Nw 90th St, Gainesville, FL 32653-2990 | 2020-10-12 |
1225392806 | Cynthia P Douglas | Mastectomy Fitter | 1641 Mahan Center Blvd, Suite 2, Tallahassee, FL 32308-7404 | 2012-06-28 |
1457612681 | Brenda Parejas | Mastectomy Fitter | 3526 Dovetail Ln N, Lakeland, FL 33812-4123 | 2012-06-05 |
1669759171 | Terri Rohde | Mastectomy Fitter | 308 53rd Ave E, Bradenton, FL 34203-4706 | 2011-11-11 |
1104008895 | Chalena R Hetznecker | Mastectomy Fitter | 101 N Woodland Blvd, Suite A303, Deland, FL 32720-4245 | 2007-12-04 |
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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.