Susan Lisa Peacock, M.S., M.P.A.-HSA,

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-143 Issued in NV

Practice address

4293 Cutting Horse Circle
Reno, NV 89519

Phone

(775) 787-7261

NPI assigned

Mar 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1366804296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4293 CUTTING HORSE CIRCLE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89519",
            "telephone_number": "775-787-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4293 CUTTING HORSE CIRCLE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89519",
            "telephone_number": "775-787-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "SUSAN",
        "middle_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "M.S., M.P.A.-HSA,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-21",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "6540",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104216",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006168",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Eden Payne, MD
• Anjolina Leeanne Payson Roldan
• Kael Paz
• Hilary Cynthia Pea
• Kathryn Peacock-Dutt, MSW LCSW
• Danielle Peacon
• Peak Allergy (Peak Allergy Ltd.)
• Peak Neuropsychology, LLC
• Peak Performance Chiropractic LLC
• Peak Physical Therapy (Galena Sport Physical Therapy)

• Speech-Language Pathologist in Reno, NV
• Providers in Reno, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.