DR. SUSIE BARTOLOME PETERSON CSCD CCC-SLP
NPI 1063529956
Speech-Language Pathologist in Honolulu, HI

Q: What is Susie Peterson's NPI number?

The NPI number for Susie Peterson is 1063529956. It was assigned to this individual provider in the NPPES registry on August 24, 2006. The provider is also known as Dr. Susie J Bartolome Slp.

Q: What is Susie Peterson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Susie Peterson was last updated on January 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 24, 2006Accepts Medicare Assignment

677 ALA MOANA BLVD STE 625, HONOLULU, HI 96813(808) 692-1580(808) 566-6292 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2020, Jan 7, 2020, Nov 27, 2019 (3 updates tracked since 2019).

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About Dr. Susie Bartolome Peterson Cscd Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSIE BARTOLOME PETERSON CSCD CCC-SLP (NPI 1063529956) is an individual speech-language pathologist provider in Honolulu, Hawaii, licensed in Hawaii (SP-1826) and active in the NPI registry since August 2006. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1063529956

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameDR. SUSIE BARTOLOME PETERSONCredential: CSCD CCC-SLP

Location Address677 ALA MOANA BLVD STE 625Honolulu, HI 96813-5415

Mailing Address677 Ala Moana Blvd Ste 1001Honolulu, HI 96813-5408 · (808) 469-4900 · Fax (808) 536-7315

Phone(808) 692-1580

Fax(808) 566-6292

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 24, 2006

Last NPPES UpdateJanuary 13, 20203 updates tracked since enumeration

✔ NPI 1063529956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in HI · SP-1826

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

677 ALA MOANA BLVD STE 625, Honolulu, HI 96813

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Other Names 1

Former Name (1)Dr. Susie J Bartolome Slp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Susie Bartolome Peterson Cscd Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365877164

PECOS Enrollment IDI20200125000183

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMARA A BIRER M.S., CCC-SLP

Speech-Language Pathologist