Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063529956 Individual Practitioner Female Practitioner

Susie Bartolome Peterson , CSCD CCC-SLP

Speech-Language Pathologist • Honolulu, HI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Susie Peterson, CSCD CCC-SLP is a certified Speech-Language Pathologist practicing in Honolulu, HI. With approximately 10 years of clinical experience since completing medical education in 2016, Susie Peterson delivers high-quality medical care to the local community at 677 ALA MOANA BLVD STE 625.

Susie Peterson is affiliated with Powerback Rehabilitation Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

677 Ala Moana Blvd Ste 625

Honolulu, HI 968135415

Telephone 8086921580
Fax 8085666292
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Honolulu, HI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -6.7 yrs vs City Avg
City Avg: 16.7 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
285 Specialists

Practicing in Honolulu, HI (572 Statewide)

Telehealth Adoption Rate
0.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (10 Years) 10 Yrs
Honolulu Specialty Average (16.7 Years) 16.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2020-01-13
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License HI SP-1826

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.

Hospital & Practice Group Affiliations

Powerback Rehabilitation Llc

1350 S King St, Honolulu, HI 968142008

Phone: 8088098057

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Samara Birer , MS, CCC-SLP

Speech-Language Pathologist

NPI 1093102543

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Joanne Kawahigashi-Oshiro

Speech-Language Pathologist

NPI 1104154343
Wendy Saka , MS, CCC-SLP

Speech-Language Pathologist

NPI 1154887222

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1225387459

Doctor of Audiology

Sarah Hartney , MS CCC-SLP

Speech-Language Pathologist

NPI 1235480013

MSCCCSLP

Dr. Alaina Davis , PhD, CCC-SLP

Speech-Language Pathologist

NPI 1255742219

Doctor of Philosophy (Ph.D.), Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location January 13, 2020

Registered at 677 ALA MOANA BLVD STE 625, HONOLULU, HI 968135415 (Tel: 8086921580)

📍
Updated Business Mailing Address January 13, 2020

Registered at 677 ALA MOANA BLVD STE 1001, HONOLULU, HI 968135408 (Tel: 8084694900)

👤
Provider Name / Credentials Updated January 13, 2020

Recorded as SUSIE PETERSON, CSCD CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2020

Speech-Language Pathologist (License #SP-1826 in HI)

📍
Updated Business Mailing Address November 27, 2019

Registered at 5330 S RIVIERA LN, AURORA, CO 800156017 (Tel: 3036670877)

👤
Provider Name / Credentials Updated November 27, 2019

Recorded as SUSIE PETERSON, CSCD SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2019

Speech-Language Pathologist

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 9395 CROWN CREST BLVD, PARKER, CO 801388573 (Tel: 3032694590)

📍
Updated Business Mailing Address July 08, 2007

Registered at DEPT 1762, DENVER, CO 802911762 (Tel: 3034865504)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SUSAN PETERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Rehabilitation Counselor (License #ASHACCC12005773 in None)

🟢
Initial NPI Registration & Enumeration August 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Susie Peterson. Be the first to share your experience!

Sign in to leave a review for Susie Peterson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1063529956
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2006
Last Update: January 13, 2020
Sole Proprietor: No

Mailing Address

677 Ala Moana Blvd Ste 1001

Honolulu, HI 968135408

Phone: 8084694900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.