Suzanne Elizabeth Bartek, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1057089 Issued in TX

Practice address

1702 N Collins Blvd Ste 180&190
Richardson, TX 75080-3566

Phone

(214) 389-1234

Fax

(214) 389-1230

NPI assigned

Dec 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 2, 2023 through Oct 2, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1386303535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 MEDINA DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750743824",
            "telephone_number": "214-405-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 N COLLINS BLVD STE 180&190",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803566",
            "telephone_number": "214-389-1234",
            "fax_number": "214-389-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTEK",
        "first_name": "SUZANNE",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1057089",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1057089",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1057089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barracuda Ventures
• Cassie Barrera, LPC, LCDC
• Jason Brian Barrett
• Noel Barrilleaux, RDN, LD, CSSD
• Medina Corwin Barron, OTR
• Amy Winters Bartley, MS, LPC
• Perrin Elizabeth Barton
• Skylar Rick Barton, CNIM
• Amanda Denise Bass, LPC
• Hannah Bass, SLP

• Adult Health Nurse Practitioner in Richardson, TX
• Providers in Richardson, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.