SUSAN LYNETTE FORT (NPI# 1003117532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003117532 |
Entity Type | Individual |
Full Name | SUSAN LYNETTE FORT |
Credential | ARNP |
Practice Address |
2528 Nw 32nd St Gainesville FL 32605-2743 |
Practice Telephone | 3522248161 |
Practice Fax Number | 3213208780 |
Mailing Telephone | 3522248161 |
Mailing Fax Number | 3213218780 |
Enumeration Date | 2010-11-15 |
Last Update Date | 2018-10-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP 3295302 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4000 Sw 20th Ave, Gainesville, FL 326074417 | 3522248161 |
Street Address |
2528 NW 32ND ST |
City | GAINESVILLE |
State | FL |
Zip Code | 32605-2743 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801351184 | Slf Medical Services, LLC | Internal Medicine | 2528 Nw 32nd St, Gainesville, FL 32605-2743 | 2019-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
Find all providers in zip 32605 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154865814 | Kimberly Farr | Nurse Practitioner | 2601 Kensington Aly, Gainesville, GA 30504-2689 | 2016-12-14 |
1396293056 | Lelah Ruth Marzi | Nurse Practitioner | 10229 Nw 13th Ave, Gainesville, FL 32606-8056 | 2016-09-12 |
1942697560 | Darelys Andino Ruiz | Nurse Practitioner | 5510 Sw 41st Blvd Ste 202, Gainesville, FL 32608-4975 | 2015-04-21 |
1306243845 | Robin Denise Clayton | Nurse Practitioner | 2822 Ne 16th Ter, Gainesville, FL 32609-3235 | 2014-11-27 |
1154736544 | Hannah S Day | Nurse Practitioner | 1376 Burns Dr Ne, Gainesville, GA 30501-1904 | 2014-06-25 |
1902141260 | Michell Mulberry | Nurse Practitioner | 2318 Nw 90th Ter, Gainesville, FL 32606 | 2012-11-27 |
1760734057 | Danielle Foti Digennaro | Nurse Practitioner | Internal Medicine/palliative Care 100283, Gainesville, FL 32610-2299 | 2012-10-10 |
1154673606 | Carolyn A Rollins | Nurse Practitioner | 1600 Sw Archer Rd # 100129, Gainesville, FL 32610-4524 | 2012-10-09 |
1477803989 | Michelle Senerpida Barnas | Nurse Practitioner | 5236 Sw 34th Street, Gainesville, FL 32608 | 2012-09-12 |
1356645352 | Shannon Large | Nurse Practitioner | 4001 Sw 13th Street, Florida Recovery Center, Gainesville, FL 32608 | 2011-01-05 |
Find all providers in GAINESVILLE |
City | GAINESVILLE |
Zip Code | 32605 |
Please comment or provide details below to improve the information on SUSAN LYNETTE FORT.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.