NPIMap

Organization Active NPI

Terri Suresh Acnp PLLC

  • Ambulatory Surgical Clinic/Center
  • Southlake, TX
National Provider Identifier
1851759534
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
TERRI SURESH ACNP PLLC
Practice address
620 N Kimball Ave
Ste 100
Southlake, TX 76092-6855
Phone
(817) 328-8376
Fax
(817) 328-8379
NPI assigned
Feb 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Terri Jenai Suresh, APRN
Title
Owner
Phone
(817) 328-8376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

620 N Kimball Ave
Ste 100
Southlake, TX 76092-6855

Mailing address

620 N Kimball Ave
Ste 100
Southlake, TX 76092-6855
Phone (817) 328-8376

Other names 1

  • Hormonal Health Wellness and Aesthetic Centers Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1851759534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N KIMBALL AVE",
            "address_2": "STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926855",
            "telephone_number": "817-328-8376",
            "fax_number": "817-328-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N KIMBALL AVE",
            "address_2": "STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926855",
            "telephone_number": "817-328-8376",
            "fax_number": "817-328-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRI SURESH ACNP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "SURESH",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "JENAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-328-8376",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hormonal Health Wellness and Aesthetic Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.