Susan Marie Whitebread

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1070 Potro Avenue
Suite B
Pahrump, NV 89048

Phone

(408) 802-7173

NPI assigned

Feb 25, 2013

Last updated

Feb 25, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1790025963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 POTRO DR # B",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890483321",
            "telephone_number": "408-802-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 POTRO AVENUE",
            "address_2": "SUITE B",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "89048",
            "telephone_number": "408-802-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEBREAD",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225400000X",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Alan Weiberg, PSYD
• Graham Weiss
• Lauren Alicia Elaine Welch, BA
• Westcare Nevada
• Westcare Nevada Inc
• Lisa Larae Whitt, MHT
• Theresa Marie Whitt
• Blanca Susana Wiggins Zavala Lopez
• Mario Jesus Wiggins, QBA, CHW
• Thomas T Wiggins, M.D.

• Behavior Analyst in Pahrump, NV
• Providers in Pahrump, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.