Active NPI
Susan Jean Venuto, CRNA
- Certified Registered Nurse Anesthetist
- San Antonio, TX
National Provider Identifier
1962485375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28028
- Practice address
- 5364 Fredericksburg Rd
Suite 100
San Antonio, TX 78229-6107 - Phone
- (210) 546-1440
- NPI assigned
- Nov 21, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28028 | TX | Primary |
Addresses
Primary practice location
5364 Fredericksburg Rd
Suite 100
San Antonio, TX 78229-6107
Mailing address
PO Box 2208
San Antonio, TX 78298-2208
Phone (210) 805-9800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81559U | Other | TX | BC/BS |
| 2998501 | Medicaid | TX |
Other names 1
- Susan J Marshall
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28028 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1962485375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2208",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782982208",
"telephone_number": "210-805-9800",
"fax_number": "210-805-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5364 FREDERICKSBURG RD",
"address_2": "SUITE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782296107",
"telephone_number": "210-546-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENUTO",
"first_name": "SUSAN",
"middle_name": "JEAN",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "28028",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "81559U",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2998501",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "MARSHALL",
"middle_name": "J",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.