Individual provider Active NPI

Susan R. Bond, RN, FNP

  • Family Nurse Practitioner
  • Groesbeck, TX
National Provider Identifier
1790772606
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
449415 Issued in TX
Practice address
104 S Dr J B Riggs Dr
Groesbeck, TX 76642-1703
Phone
(254) 729-3356
Fax
(254) 729-3489
NPI assigned
Oct 5, 2005
Last updated
May 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 449415 TX Primary

Addresses

Primary practice location

104 S Dr J B Riggs Dr
Groesbeck, TX 76642-1703

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090324000659 TX Practitioner - Nurse Practitioner 1850458522 Reassigns benefits to 1 organization
Practice locations: Groesbeck, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mexia Principal Healthcare Limited Partnership CurrentSince Nov 1, 2018 Accepting new patients
Mexia Principal Healthcare Limited Partnership CurrentSince Nov 1, 2018 Accepting new patients
Bond Family Health Clinic PastSince Jan 1, 1990 Accepting new patients
Mexia Principal Healthcare Limited Partnership Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

104 S Dr J B Riggs Dr
Groesbeck, TX 76642
Phone (254) 729-3356

514 S Bonham St
Mexia, TX 76667
Phone (254) 562-9321

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1790772606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S DR J B RIGGS DR",
            "city": "GROESBECK",
            "state": "TX",
            "postal_code": "766421703",
            "telephone_number": "254-729-3356",
            "fax_number": "254-729-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "SUSAN",
        "middle_name": "R.",
        "credential": "RN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "449415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groesbeck, TX

Sources for this page

Verify at the official NPI Registry.