Susanna Berretta
Individual provider Active NPI Electroneurodiagnostic Specialist/Technologist · Tulsa, OK
NPI 1255209201 · NPPES record last updated Oct 29, 2025
Key facts
- NPI
- 1255209201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Electroneurodiagnostic Specialist/Technologist 246ZE0600X
- Practice address
- 2622 E 21St St Ste 2
Tulsa, OK 74114-1738 - Phone
- (918) 895-7680
- NPI assigned
- Oct 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Yes |
Addresses
Primary practice location
2622 E 21St St Ste 2
Tulsa, OK 74114-1738
Mailing address
2622 E 21St St Ste 2
Tulsa, OK 74114-1738
Phone (918) 895-7680
Other providers in Tulsa, OK
- Samantha Guadalupe Bernal
- Danielle Delainne Bernhardt
- Itzel Bernier
- Julie Bernstein
- Brooke Berntson
- Aisha Berry
- Alicia Berry
- Cherelle Berry
- Cynthia Mae Berry
- Douglas B Berry
All providers in Tulsa, OK · Electroneurodiagnostic Specialist/Technologist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.