Active NPI
Susan Renea Looney, SA-C
- Surgical Assistant
- Albertville, AL
National Provider Identifier
1104153873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 09-299
- Practice address
- 300 Ray Ave
Albertville, AL 35950-1924 - Phone
- (256) 302-2828
- Fax
- (256) 891-7182
- NPI assigned
- Nov 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 09-299 | AL | Primary |
Addresses
Primary practice location
300 Ray Ave
Albertville, AL 35950-1924
Mailing address
300 Ray Ave
Albertville, AL 35950-1924
Phone (256) 302-2828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09-299 | AL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1104153873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 RAY AVE",
"city": "ALBERTVILLE",
"state": "AL",
"postal_code": "359501924",
"telephone_number": "256-302-2828",
"fax_number": "256-891-7182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 RAY AVE",
"city": "ALBERTVILLE",
"state": "AL",
"postal_code": "359501924",
"telephone_number": "256-302-2828",
"fax_number": "256-891-7182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOONEY",
"first_name": "SUSAN",
"middle_name": "RENEA",
"credential": "SA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-17",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "AL",
"license": "09-299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albertville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.