Individual provider Active NPI

Suzan Renee Salter, PA-C

  • Medical Physician Assistant
  • Corpus Christi, TX
National Provider Identifier
1881782860
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA04064
Practice address
7121 S. Padre Island Dr Ste 300
Thomas Span Clinic
Corpus Christi, TX 78912
Phone
(361) 696-6200
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA04064 Primary
Physician Assistant 363A00000X PA04064 TX

Addresses

Primary practice location

7121 S. Padre Island Dr Ste 300
Thomas Span Clinic
Corpus Christi, TX 78912

Mailing address

14493 S. Padre Island Dr. Ste a
#Pmb296
Corpus Christi, TX 78418-5939
Phone (318) 243-9370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA04064TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. David'S Carenow Urgent Care PLLC Past Accepting new patients
Thomas-Spann Clinic, P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: susan.salter.1@11331.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1881782860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14493 S. PADRE ISLAND DR. STE A",
            "address_2": "#PMB296",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784185939",
            "telephone_number": "318-243-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 S. PADRE ISLAND DR STE 300",
            "address_2": "THOMAS SPAN CLINIC",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78912",
            "telephone_number": "361-696-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTER",
        "first_name": "SUZAN",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": "PA04064",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04064",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.