MS. EDA SUSAN RENIERI


Address: 517 East Strawbridge Ave, Melbourne, FL 32901
Phone: 3217289442

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL CIGNA 44539000 01
BLUE CROSS BLUE SHIELD FL M2733 01

Office Location

Street Address 517 EAST STRAWBRIDGE AVE
City MELBOURNE
State FL
Zip Code 32901

Providers in the same zip code

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 Information

Taxonomy Code 224900000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Mastectomy Fitter

Taxonomy Definition

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.

Providers in the same taxonomy and state

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

Competitor

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City MELBOURNE
Zip Code 32901

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Dataset Information

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.

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