SUSANNE M CUBBERLEY (NPI# 1538679378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538679378 |
| Entity Type | Individual |
| Full Name | SUSANNE M CUBBERLEY |
| Practice Address |
11972 Orange Blossom Dr Seminole FL 33772-3443 |
| Practice Telephone | 7273858046 |
| Mailing Telephone | 7273858046 |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN33667152 | FL | Nursing Service Providers |
| Y | 376G00000X | Nursing Home Administrator | 151134962 | FL | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015342000 | 05 |
| Street Address |
11972 ORANGE BLOSSOM DR |
| City | SEMINOLE |
| State | FL |
| Zip Code | 33772-3443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568979466 | Enduring Life Services LLC | Assisted Living Facility | 11972 Orange Blossom Dr, Seminole, FL 33772-3443 | 2018-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245765205 | Capstone Eye Care Group of Florida LLC | Eyewear Supplier (Equipment, not the service) | 7855 113th St Bldg P-2, Suite A, Seminole, FL 33772 | 2017-04-27 |
| 1922453067 | Donna Malkovich | Nurse Practitioner | 11925 Mandarin Ct, Seminole, FL 33772 | 2016-04-26 |
| 1518259209 | Dorca N. May | Nurse's Aide | 11428 - 63 Ave N, Seminole, FL 33772 | 2011-05-12 |
| 1467753681 | Anthony J. Auletta, Jr. D.m.d., Pa | Dentist | 8277 113th Street N, Seminole, FL 33772 | 2010-11-04 |
| 1346559481 | Tiffany Jane Marie Bishop | Physical Therapist | 11224 Park Blvd., N, Cora Rehabilitation, Seminole, FL 33772 | 2010-10-06 |
| 1235442997 | Cynthia Renee Bouchard | Student in an Organized Health Care Education/Training Program | 9200 113th St. N., Seminole, FL 33772 | 2010-07-22 |
| 1851603591 | William Daily | Dentist | 9200 113th St N, Seminole, FL 33772 | 2010-07-10 |
| 1427370295 | Teresa Ann Skinner | Counselor | 7130 Seminole Blvd., Seminole Professional Centre, Seminole, FL 33772 | 2010-02-22 |
| 1922257120 | Jennifer Henkel Johnson | Dentist | 9951 Seminole Blvd, Seminole, FL 33772 | 2008-09-11 |
| 1528233970 | Joann Carol Horianopoulos | Physical Therapy Assistant | 7388 121st Way North, Seminole, FL 33772 | 2008-04-28 |
| Find all providers in zip 33772 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241489 | Ganielle Marva Peterson | Nursing Home Administrator | 2773 Se Clareton Ter, Port St Lucie, FL 34952-6621 | 2020-09-30 |
| 1326652231 | Emma Grace Homes LLC | Nursing Home Administrator | 600 Jefferis Ct, Eustis, FL 32726-5114 | 2020-09-08 |
| 1629692736 | Michele M Gavin | Nursing Home Administrator | 3450 Kaiser Ave, Saint Cloud, FL 34772-7311 | 2020-06-04 |
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1073147914 | Kemisha Latoya Mathis | Nursing Home Administrator | 2279 W 2nd St, Jacksonville, FL 32209-6906 | 2020-03-01 |
| 1093284903 | New Day Assisted Living, LLC | Nursing Home Administrator | 1931 Sw Mcallister Ln, Port St Lucie, FL 34953-2064 | 2018-11-20 |
| 1174030589 | Olivia Marcia Batchelor | Nursing Home Administrator | 1904 Gardner Ave, Lehigh Acres, FL 33936-5344 | 2018-01-08 |
| 1699212399 | Ursula Schmiel-degama | Nursing Home Administrator | 11900 Nw 35th St, Sunrise, FL 33323-1242 | 2017-01-19 |
| 1578915070 | Luz Medy Lebron Monclova | Nursing Home Administrator | 5681 Edenfield Rd, Apt. 1005, Jacksonville, FL 32277-1469 | 2016-07-07 |
| 1992157689 | Marie Louis | Nursing Home Administrator | 19 Burning Wick Pl, Palm Coast, FL 32137-8802 | 2016-07-06 |
| Find all providers with the same taxonomy | ||||
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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.