MRS. SUSAN MARIE OTERO (NPI# 1386288025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386288025 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN MARIE OTERO |
| Credential | APRN |
| Practice Address |
1719 Avant St Valrico FL 33594-4779 |
| Practice Telephone | 8134941149 |
| Practice Fax Number | 8667282808 |
| Mailing Telephone | 8134941149 |
| Mailing Fax Number | 8667282808 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11003911 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831222652 | Susan Evette Otero | Counselor | 916 N Mountain Ave, Suite A, Upland, CA 91786-3697 | 2007-03-13 |
| 1205997244 | Susan E. Otero | Plastic Surgery | 106 Irving St Nw, Pob 420 South, Washington, DC 20010-2927 | 2006-12-13 |
| Street Address |
1719 AVANT ST |
| City | VALRICO |
| State | FL |
| Zip Code | 33594-4779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750993184 | Anya De Frias | Dentist | 1620 East Brandon Boulevard, Fl-60, Valrico, FL 33594 | 2020-08-18 |
| 1285151183 | Joshua Ryan Wynne | Chiropractor | 2106 Arbor Oaks Dr, Valrico, FL 33594 | 2017-08-23 |
| 1669993242 | Shahab Samimi | Dentist | 1620 State Road 60 E, Valrico, FL 33594 | 2017-07-04 |
| 1275964314 | New Horizons Psych Services,llc | Assisted Living Facility | 2406 S.r. 60 East, #423, Valrico, FL 33594 | 2013-11-27 |
| 1598195869 | Bonni S. Bishop, LLC | Skilled Nursing Facility | 2406 State Road 60 East, #423, Valrico, FL 33594 | 2013-11-22 |
| 1427488832 | Talia Azor | Social Worker | 4010 Highgate Dr, Valrico, FL 33594 | 2013-11-21 |
| 1598106387 | Serenity Manor Assisted Living, Inc. | Assisted Living Facility | 322 Regal Park Dr., Valrico, FL 33594 | 2013-07-10 |
| 1457622250 | Charlotte Grier | Pharmacist | 2110 State Road 60 East, Valrico, FL 33594 | 2012-01-25 |
| 1558587733 | Donald Szabo | Optometrist | 1940 E Hwy 60, Valrico, FL 33594 | 2007-04-17 |
| 1346397874 | Elizabeth L Conner | Speech-Language Pathologist | 621 Sand Ridge Dr, Valrico, FL 33594 | 2007-01-05 |
| Find all providers in zip 33594 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780223545 | John Charles Webb | Nurse Practitioner | 3309 Eastmonte Dr, Valrico, FL 33596-6085 | 2019-12-26 |
| 1083252845 | Cara Manco | Nurse Practitioner | 1118 Lumsden Pointe Blvd, Valrico, FL 33594-4518 | 2019-12-11 |
| 1245763937 | Crystal Brown | Nurse Practitioner | 906 Citrone Ct, Valrico, FL 33594-4325 | 2017-04-10 |
| 1285172023 | Mercy Mammen Geevarghese | Nurse Practitioner | 2533 Cross More St, Valrico, FL 33594-4640 | 2017-02-01 |
| 1396296174 | Jasmin Pullappally | Nurse Practitioner | 2602 Queen Alberta Dr, Valrico, FL 33596-6526 | 2016-10-17 |
| 1134588544 | Kelly Bulaclac | Nurse Practitioner | 2946 Hickory Grove Dr, Valrico, FL 33596-7952 | 2016-02-12 |
| 1528423183 | Bindumol Mathew | Nurse Practitioner | 3321 Pine Top Dr, Valrico, FL 33594-7617 | 2015-12-28 |
| 1215301031 | Raji Kuriakose | Nurse Practitioner | 436 Country Vineyard Dr, Valrico, FL 33594-3045 | 2015-11-17 |
| 1457738890 | Jessy Samuel Abraham | Nurse Practitioner | 3444 Lithia Pincrest Rd, Valrico, FL 33596-6301 | 2015-05-06 |
| 1104240381 | Trini-t Medical Services LLC | Nurse Practitioner | 3519 Pine Top Dr, Valrico, FL 33594-7622 | 2014-02-10 |
| Find all providers in VALRICO | ||||
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| 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.