NPIMap

Individual provider Active NPI

Susan Elizabeth Erredge, D.P.M.

  • Foot Surgery Podiatrist
  • Zuni, NM
National Provider Identifier
1174597397
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
0299 Issued in AZ
Practice address
Route 301 North 21 B Ave
Zuni, NM 87327-0467
Phone
(505) 782-4431
NPI assigned
Feb 14, 2006
Last updated
Feb 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 0299 AZ Primary
Foot Surgery Podiatrist 213ES0131X 1431 TX
Foot Surgery Podiatrist 213ES0131X 016-003857 IL

Addresses

Primary practice location

Route 301 North 21 B Ave
Zuni, NM 87327-0467

Mailing address

PO Box 467
Route 301 North 21 B Ave
Zuni, NM 87327-0467
Phone (505) 782-4431

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-003857ILMDFoot Surgery Podiatrist
1431TXMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Specialty Care Services Podiatrist Past Accepting new patients
Podiatric Physicians of Arizona, Inc. Past Accepting new patients
Sole Foot and Ankle Specialists PC Podiatrist Past Accepting new patients
Multi Specialty Physicians Inc Past Accepting new patients
Podiatric Physicians of Arizona, Inc. Past Accepting new patients
Stephen L Barrett DPM PA Past Accepting new patients

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1174597397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 467",
            "address_2": "ROUTE 301 NORTH 21 B AVE",
            "city": "ZUNI",
            "state": "NM",
            "postal_code": "873270467",
            "telephone_number": "505-782-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 301 NORTH 21 B AVE",
            "city": "ZUNI",
            "state": "NM",
            "postal_code": "873270467",
            "telephone_number": "505-782-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERREDGE",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AZ",
            "license": "0299",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1431",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IL",
            "license": "016-003857",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zuni, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.