Susamma Mathew, RN

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

016759 Issued in TX

Practice address

3939 US Highway 80 E Ste 306
Mesquite, TX 75150-3354

Phone

(214) 221-8585

Fax

(214) 221-8586

NPI assigned

Mar 22, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• New Horizon Healthcare Inc

  • Home Health Agency
  • Mesquite, TX
  • NPI 1700280120
  NPD (past)

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1154024982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 US HIGHWAY 80 E STE 306",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503354",
            "telephone_number": "214-221-8585",
            "fax_number": "214-221-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 US HIGHWAY 80 E STE 306",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503354",
            "telephone_number": "214-221-8585",
            "fax_number": "214-221-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "SUSAMMA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "577931",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "016759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farbod Masrour, D.O,
• Warner Barron Massey, MD
• Melody Lane Matej, FNP-C
• Mathew & Mathew Health Group LLC
• Ebin Mathew, SLP
• Aisha Mathis, CERT. HAIRLOSS SPEC.
• Charbrisha Mathis
• Shannon Mattox, PHARMD
• Nicole Stocker Matysiak, FNP-C
• Maximum Healthcare Services LLC

• Home Health Agency in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.