Susan J Lundy, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

447447 Issued in TX

Practice address

3430 Fannin St
Beaumont, TX 77701-3803

Phone

(409) 813-2761

Fax

(409) 813-2762

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quantum Hospital Medicine Services of Texas PA

  • Hospitalist Physician
  • Port Arthur, TX
  • NPI 1568613024
  NPD (past)
• Cardiac Imaging Inc

  • Mobile Radiology Clinic/Center
  • Oakbrook Terrace, IL
  • NPI 1770830606
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1407884844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 FANNIN ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013803",
            "telephone_number": "409-813-2761",
            "fax_number": "409-813-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 FANNIN ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013803",
            "telephone_number": "409-813-2761",
            "fax_number": "409-813-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDY",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "447447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Glenn Taylor, M.D., P.a. (TLC Pediatrics)
• Harrison Daniel Luke, D.D.S.
• Julie Symons Luke, LCSW LPC
• L Denise Sarver Lumpkin, FNP
• Peyton Marie Lumpkin
• Luparellos Corner Pharmacy LLC
• Luparellos Corner Pharmacy LLC
• Debra Jann Lusk, D.P.M.
• Luxottica of America Inc. (Lenscrafters #0717)
• Luxottica Retail North America Inc (Sears Optical #C0015)

• Nurse Practitioner in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.