KEYLESHA SUSSO (NPI# 1477023448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477023448 |
| Entity Type | Individual |
| Full Name | KEYLESHA SUSSO |
| Credential | RCS, RVS |
| Practice Address |
1705 Coit Rd Apt 1017 Plano TX 75075-6146 |
| Mailing Address |
3000 Custer Rd Ste 270-464 Plano TX 75075-4422 |
| Practice Telephone | 4699682684 |
| Mailing Telephone | 4699682684 |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2018-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
00080850 | NC | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1705 COIT RD APT 1017 |
| City | PLANO |
| State | TX |
| Zip Code | 75075-6146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1558991364 | Pinner Hio Chiropractic, Inc | Chiropractor | 3801 George Bush Turnpike, Ste 130, Plano, TX 75075 | 2020-01-21 |
| 1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
| 1033691498 | Jane Njeri Muchiri | Licensed Vocational Nurse | 1255 West 15th Street Suite1025, Plano, TX 75075 | 2018-09-02 |
| 1548742976 | Bethany Noelle Bell | Speech-Language Pathologist | 1255 W 15th Street Suite 1025, Plano, TX 75075 | 2018-09-01 |
| 1639650302 | Olufunke Oloyede | Licensed Vocational Nurse | 1255 W 15th St Ste 1205, Plano, TX 75075 | 2018-08-22 |
| 1679053995 | Healthrx Pharmacy LLC | Pharmacy | 2235 W 15th St, Plano, TX 75075 | 2018-08-16 |
| 1134606593 | Lauren Scurry | Speech-Language Pathologist | 2809 Hunters Creek, Plano, TX 75075 | 2018-07-27 |
| 1740767946 | Barikat Aruna Oderinde | Nurse Practitioner | 804 Edmonton Dr, Plano, TX 75075 | 2018-07-20 |
| 1932685302 | Surgical Anesthesia Consultants, Pllc | Anesthesiology | 2419 Coit Road, Suite B, Plano, TX 75075 | 2018-07-18 |
| Find all providers in zip 75075 | ||||
| Taxonomy Code | 246XS1301X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922504455 | Beng Mooi Liew | Spec/Tech, Cardiovascular | 3401 Nova Trl, Plano, TX 75023-3608 | 2018-04-03 |
| 1215432034 | Tiffany Aneu | Spec/Tech, Cardiovascular | 5301 W Spring Creek Pkwy Apt 735, Plano, TX 75024-4905 | 2018-03-25 |
| 1134586142 | Wright Diagnostic Imaging | Spec/Tech, Cardiovascular | 6920 Rainwood Dr, Plano, TX 75024-7539 | 2016-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568085538 | Christina Danielle Barraco | Spec/Tech, Cardiovascular | 5723 Glenmere Ln, Spring, TX 77379-7845 | 2020-05-25 |
| 1265067276 | Charles Drew Smith | Spec/Tech, Cardiovascular | 914 Rscr 3345, Emory, TX 75440-4810 | 2020-03-10 |
| 1013547314 | Annali Goette | Spec/Tech, Cardiovascular | 305 Murray Farm Dr Apt 428, Fairview, TX 75069-6907 | 2020-01-25 |
| 1932751146 | Edis Hobson | Spec/Tech, Cardiovascular | 8323 Southwest Fwy Ste 470, Houston, TX 77074-1636 | 2019-07-09 |
| 1538625306 | Brian Lawson | Spec/Tech, Cardiovascular | 5508 Valley Oak Dr, El Paso, TX 79932-4404 | 2019-02-15 |
| 1811468077 | Nyquist Imaging,llc | Spec/Tech, Cardiovascular | 7248 Copper Trail Ave, El Paso, TX 79934-3415 | 2018-12-16 |
| 1427565860 | Lynette Gascoigne | Spec/Tech, Cardiovascular | 18833 Town Ridge Lane, Apt 1424, Webster, TX 77598-7759 | 2018-01-08 |
| 1902312028 | Tiny Impressions LLC | Spec/Tech, Cardiovascular | 101 W Hawkins Pkwy Ste 2, Longview, TX 75605-1833 | 2017-12-27 |
| 1548701329 | Marilyn Clark | Spec/Tech, Cardiovascular | 8700 9th Ave Ste 108, Port Arthur, TX 77642-8069 | 2017-03-14 |
| 1528518164 | Angel Yvette Guzman | Spec/Tech, Cardiovascular | 824 Water Hyacinth Loop, Leander, TX 78641-1986 | 2016-10-06 |
| 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.