Susan Dean Pearson

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Practice address

4629 Calvin Dr
Corpus Christi, TX 78411-2814

Phone

(361) 442-0432

NPI assigned

Dec 15, 2012

Last updated

Dec 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1355529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355529600000",
    "number": "1992041115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 CALVIN DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112814",
            "telephone_number": "361-442-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4629 CALVIN DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112814",
            "telephone_number": "361-442-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "SUSAN",
        "middle_name": "DEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-15",
        "last_updated": "2012-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peaceful Psychiatry PLLC
• Chea Z Peacock, R.T (R) (M)/CPT
• David Earl Pearce, MD FACS
• Randy Ric Pearce, D.O.
• Samantha J Pearson
• Vanessa Pearson, MD
• Brian Joseph Pebbles, LPC-A
• Jerri Peck, SLP
• Jacob Daniel Pedersen, INDEPENDENT DUTY CO
• Pediatric Clinic of South Texas (Fe E Pizarro, M.D. P.A.)

• Nutrition Education Nutritionist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Nutrition Education Nutritionist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2012; 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.