Suzanne Cearley, CPCP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP138143 Issued in TX

Practice address

840 W Clements St
Odessa, TX 79763-4601

Phone

(432) 640-4860

Fax

(432) 640-4864

NPI assigned

Jul 23, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ector County Hospital District

  • Urgent Care Clinic/Center
  • Odessa, TX
  • NPI 1366680555
  Medicare reassignment NPD
• Ector County Hospital District

  • Federally Qualified Health Center (FQHC)
  • Odessa, TX
  • NPI 1578141552
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1114404209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2129",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797602129",
            "telephone_number": "432-640-4860",
            "fax_number": "432-640-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 W CLEMENTS ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634601",
            "telephone_number": "432-640-4860",
            "fax_number": "432-640-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEARLEY",
        "first_name": "SUZANNE",
        "credential": "CPCP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP138143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Alexander Castillo, MD
• Manuel Castillo, M.D
• Castillorx, LLC
• Irene C Cawi, NURSE PRACTITIONER
• Guillermo Nicolas Cazares, MD
• Maria G Ceballos, O.D.
• Ralph Cepero, M.D.
• Certified CC Opticians
• Monica Cervantes, DPM
• Kalyan Chakrala, D.O.

• Pediatric Nurse Practitioner in Odessa, TX
• Providers in Odessa, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.