Susannah Marrisa Alba-Padron, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1142978 Issued in TX

Practice address

2882 Holly Rd
Corpus Christi, TX 78415-4106

Phone

(361) 814-2001

NPI assigned

Dec 7, 2023

Last updated

Dec 7, 2023By the provider in NPPES

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

Enrolled in TX

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.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Bend Wellness Foundation IncGroup PAC ID 9931422649, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Coastal Bend Wellness Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • Corpus Christi, TX
  • NPI 1144523671
  Medicare reassignment Care Compare group NPD
• Coastal Bend Wellness Foundation Inc.

  dba Coastal Bend Wellness Pharmacy

  • Community/Retail Pharmacy
  • Corpus Christi, TX
  • NPI 1689131625
  NPD

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1538936802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 WAGON TRL",
            "city": "ROBSTOWN",
            "state": "TX",
            "postal_code": "783809792",
            "telephone_number": "361-232-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2882 HOLLY RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784154106",
            "telephone_number": "361-814-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBA-PADRON",
        "first_name": "SUSANNAH",
        "middle_name": "MARRISA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1142978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricky Alaniz
• Ashley Alanmanou, D.D.S.
• Euleche A Alanmanou, M.D.
• Danielle Odette Alarcon
• Adam Daigoro Alarilla Sr., PHARMD
• Bill J Albarado, D.O.
• Mary L Albarado, RD, LD, CDE
• Laura Juliana Albarracin, DDS
• Alberto Enrique Delaguardia
• Michelle Albornoz

• Psychiatric/Mental Health Nurse Practitioner in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.