SUZANNE M VICTORINE (NPI# 1538318035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538318035 |
| Entity Type | Individual |
| Full Name | SUZANNE M VICTORINE |
| Credential | ARNP |
| Practice Address |
936 E Parker St Lakeland FL 33801-1968 |
| Mailing Address |
950 County Road 17a W Avon Park FL 33825-2164 |
| Practice Telephone | 8634138600 |
| Practice Fax Number | 8634138650 |
| Mailing Telephone | 8634523000 |
| Mailing Fax Number | 8634523001 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9192179 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
936 E PARKER ST |
| City | LAKELAND |
| State | FL |
| Zip Code | 33801-1968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205821287 | Anandavalli Krishnamoorthy | Emergency Medicine | 936 E Parker St, Lakeland, FL 33801-1968 | 2005-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
| 1932719242 | Jimia Watkins | Home Health Aide | 2410 Lakeview St, Lakeland, FL 33801 | 2020-08-03 |
| 1396366886 | Erin Zimmer | Health Educator | 491 Lake Parker Ave, Lakeland, FL 33801 | 2020-05-06 |
| 1013473206 | Madelyn Claire Burley | Occupational Therapist | 1215 East Orange Street, Lakeland, FL 33801 | 2019-02-13 |
| 1992260319 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 1617 Us Highway 98 S, Lakeland, FL 33801 | 2019-02-11 |
| 1669908836 | Integrative Physical Medicine of Lakeland LLC | Specialist | 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 | 2017-05-10 |
| 1689111502 | Daryl Dowding | Counselor | 390 Alcaia Rd., Lakeland, FL 33801 | 2017-01-30 |
| 1023481926 | Joseph D'alessandro | Specialist/Technologist | 111 Lake Hollingsworth Dr Box 4334, Lakeland, FL 33801 | 2015-11-02 |
| 1588030894 | Donna Lee Buckner | Specialist/Technologist | 111 Mosswood Road, Lakeland, FL 33801 | 2015-08-20 |
| 1144635780 | Donna Paige Mccraney | Nurse Practitioner | 111 Lake Hollingsworth Drive, Florida Southern College Student Health Center, Lakeland, FL 33801 | 2014-06-23 |
| Find all providers in zip 33801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906994 | Janine Marie Divincenzo-smith | Nurse Practitioner | 2927 Northbrook Ln, Lakeland, FL 33811-1663 | 2020-09-15 |
| 1225643638 | Erin Garza | Nurse Practitioner | 1606 Lakewood Dr N, Lakeland, FL 33813-3241 | 2020-09-11 |
| 1184240228 | Alexis Michele Ramos | Nurse Practitioner | 858 Rockingham Rd, Lakeland, FL 33809-4044 | 2020-06-24 |
| 1326664632 | Lindsey R Cromer | Nurse Practitioner | 6945 Ashbury Dr, Lakeland, FL 33809-7804 | 2020-06-23 |
| 1043846611 | Amy Melissa Eaton | Nurse Practitioner | 1123 Walt Williams Rd Lot 192, Lakeland, FL 33809-2392 | 2020-03-16 |
| 1265066732 | Komal Meghat | Nurse Practitioner | 707 Arbor Glen Cir Apt 103, Lakeland, FL 33805-2376 | 2020-02-24 |
| 1629609391 | Brooke Nicole Brooks | Nurse Practitioner | 6883 Lake Eaglebrooke Dr, Lakeland, FL 33813-5667 | 2020-01-30 |
| 1568001774 | Theava Ismarella Preston | Nurse Practitioner | 1409 Alameda Dr S, Lakeland, FL 33805-2301 | 2020-01-06 |
| 1497394738 | Denise Thaxter | Nurse Practitioner | 3262 Pebblebrooke Blvd, Lakeland, FL 33810-1305 | 2020-01-03 |
| 1205478724 | Jisha Mathew | Nurse Practitioner | 2636 High Ridge Dr, Lakeland, FL 33812-5883 | 2019-10-16 |
| Find all providers in LAKELAND | ||||
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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.