Susan P Harrelson, LMT, CLT-LANA

Primary specialty

SpecialistTaxonomy code 174400000X

License

MT016082 Issued in TX

Practice address

18626 Hardy Oak Blvd
Suite 210
San Antonio, TX 78258-4210

Phone

(210) 237-4229

Fax

(210) 249-4911

NPI assigned

Mar 13, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Peripheral Vascular Associates, P.a.

  • Vascular Surgery Physician
  • San Antonio, TX
  • NPI 1396791570
  NPD (past)

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1467793695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5047 SHERRI ANN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782336213",
            "telephone_number": "210-237-4400",
            "fax_number": "210-828-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18626 HARDY OAK BLVD",
            "address_2": "SUITE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584210",
            "telephone_number": "210-237-4229",
            "fax_number": "210-249-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELSON",
        "first_name": "SUSAN",
        "middle_name": "P",
        "credential": "LMT, CLT-LANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "MT016082",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "000573",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Harr, OTR/L
• Mary Beth Harr, M.D.
• Nicholas Harral
• Kelly Harrell, DO
• Michael Andre Harrell Jr., MD
• Jamie Harriff, FNP
• D'Shawn Linton Harrigan, PSYD
• Danyel Pattrice Harrigan
• Judith Ann Harrigan, LPC
• Brian Boru Harrington, M.D.

• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.