Susan N Hyde, ATP

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

ATP87869 Issued in TX

Practice address

1555 Elm St Apt 3108
Dallas, TX 75201-3525

Phone

(972) 921-3045

Fax

(817) 590-8277

NPI assigned

Jan 17, 2017

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 names 1

• Mrs. Susan N Mahoney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1982140760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 ELM ST APT 3108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752013525",
            "telephone_number": "972-921-3045",
            "fax_number": "817-590-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 ELM ST APT 3108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752013525",
            "telephone_number": "972-921-3045",
            "fax_number": "817-590-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "SUSAN",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "ATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "ATP87869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MAHONEY",
            "middle_name": "N",
            "prefix": "MRS.",
            "credential": "ATP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Candice Hyatt
• Steven E. Hybarger, MD
• Cindy Lyn Hyde, MA MFT, LPC
• John Hyde, PA-C
• Matthew R. Hyde, M.D.
• Michael Hyder
• Saher Hyderali, CCC-SLP
• Hygeia Affiliates,LLC
• Hygge Ventures Group LLC
• John Hyland, M.D.

• All providers in Dallas, TX
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.