SUSAN AMANDA REESE CARPENTER (NPI# 1649796665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649796665 |
| Entity Type | Individual |
| Full Name | SUSAN AMANDA REESE CARPENTER |
| Credential | PMHNP |
| Practice Address |
1009 N Georgetown St Round Rock TX 78664-3289 |
| Mailing Address |
2103a Pompton Dr Austin TX 78757-8216 |
| Practice Telephone | 5122551720 |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP134934 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194902866 | Susan Terwilliger Carpenter | Speech-Language Pathologist | 11665 Avena Pl Ste 106, San Diego, CA 92128-2427 | 2008-01-24 |
| 1942321955 | Susan R. Carpenter | Chiropractor | 5511 N Ridgeway Rd, Ringwood, IL 60072-9633 | 2007-04-03 |
| 1528051448 | Susan B Carpenter | Psychologist | 2011 Ashwood Ave, Nashville, TN 37212 | 2005-08-25 |
| 1760005425 | Susan Carpenter | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-05-28 |
| 1639686991 | Susan Carpenter | Counselor | 805 Beech St, Clare, MI 48617-1209 | 2018-01-08 |
| 1457760555 | Susan Carpenter | Case Manager/Care Coordinator | 8623 N Wayne Rd, Westland, MI 48185-1137 | 2014-08-04 |
| 1689013070 | Susan King Carpenter | Counselor | 600 S Fayetteville St, Asheboro, NC 27203-6404 | 2013-06-18 |
| 1417204777 | Susan J Carpenter | Social Worker | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2012-08-06 |
| 1841592730 | Susan Carpenter | Registered Nurse | 222 Tongass Dr, Sitka, AK 99835-9416 | 2010-11-26 |
| 1427275809 | Susan Carpenter | Counselor | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2007-04-19 |
| Street Address |
1009 N GEORGETOWN ST |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-3289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447237078 | David William Coghe | Psychiatry & Neurology | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2005-12-23 |
| 1487254611 | Savannah Howe | Counselor | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2020-10-27 |
| 1912518051 | Kimberly Dragon | Counselor | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2020-08-12 |
| 1255967881 | Jasmin Jaimes | Social Worker | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2020-03-16 |
| 1700411485 | Lauren Moreno | Counselor | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2020-03-03 |
| 1710510169 | Diane Dinsmore | Counselor | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2020-02-13 |
| 1316578172 | Sara Cunningham | Behavioral Analyst | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2020-01-30 |
| 1093351033 | Judith Crumrine | Counselor | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2019-11-25 |
| 1386289247 | Yvette Welch | Counselor | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2019-11-14 |
| 1740836584 | Jovanna Kenney | Counselor | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2019-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053520817 | Cindy Burkhardt | Nurse Practitioner | 3950 N. A.w. Grimes Blvd, #n102, Round Rock, TX 78664 | 2007-05-21 |
| 1679190813 | Maria Albrecht | Nurse Practitioner | 505 E Palm Valley Blvd, Round Rock, TX 78664-3041 | 2020-07-04 |
| 1831670173 | Justin Janss | Nurse Practitioner | 3950 N A W Grimes Blvd Ste N102, Round Rock, TX 78665-3540 | 2018-08-24 |
| 1558885582 | Elizabeth Samuels | Nurse Practitioner | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2017-08-01 |
| 1881117208 | Lindsey Wallace | Nurse Practitioner | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2017-07-18 |
| 1861915266 | Alicia Vasquez | Nurse Practitioner | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2017-07-18 |
| 1497277222 | Lisa Alane Damura | Nurse Practitioner | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2017-07-13 |
| 1316490220 | Kathleen Pixley | Nurse Practitioner | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2016-07-27 |
| 1710430624 | Christine Kessel | Nurse Practitioner | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2016-07-27 |
| 1548626435 | Aina L Oyibo | Nurse Practitioner | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2016-01-07 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
Please comment or provide details below to improve the information on SUSAN AMANDA REESE CARPENTER.
| 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.