SUZANNE NICOLE PEKAREK (NPI# 1558559963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558559963 |
| Entity Type | Individual |
| Full Name | SUZANNE NICOLE PEKAREK |
| Credential | LMSW |
| Practice Address |
123 Truxton Ave Fort Walton Beach FL 32547-2460 |
| Mailing Address |
707 Cherokee Rd Eglin Afb FL 32542-1622 |
| Practice Telephone | 8508631530 |
| Practice Fax Number | 8508635548 |
| Mailing Telephone | 8506512627 |
| Mailing Fax Number | 8508635548 |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | APPLICATION | 05 |
| Street Address |
123 TRUXTON AVE |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-2460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518038256 | Horizons of Okaloosa County, Inc. | Day Training, Developmentally Disabled Services | 123 Truxton Ave, Fort Walton Beach, FL 32547-2460 | 2006-11-13 |
| 1649763616 | Jennifer Meshell Dahlberg | Developmental Therapist | 123 Truxton Ave, Fort Walton Beach, FL 32547-2460 | 2018-06-13 |
| 1508168485 | Tara Ann Rabitaille | Specialist | 123 Truxton Ave, Fort Walton Beach, FL 32547-2460 | 2010-11-26 |
| 1215179718 | Anna Alberson Giattina | Specialist | 123 Truxton Ave, Fort Walton Beach, FL 32547-2460 | 2009-03-30 |
| 1831385459 | Jessica Ann Nelson | Specialist | 123 Truxton Ave, Fort Walton Beach, FL 32547-2460 | 2007-09-18 |
| 1770702425 | Debra E Diemand | Specialist | 123 Truxton Ave, Fort Walton Beach, FL 32547-2460 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255849071 | Kerri Lynne Barone | Specialist | 341 Holmes Blvd Nw, Fort Walton Beach, FL 32548-4150 | 2018-01-15 |
| 1922465483 | Krista Maria Fylak | Specialist | 381 Santa Rosa Blvd Unit C708, Fort Walton Beach, FL 32548-3112 | 2016-01-28 |
| 1215303557 | Gregory Helton | Specialist | 22 Beal Pkwy Sw, Fort Walton Beach, FL 32548-5388 | 2015-08-20 |
| 1962803759 | Radiance of The Emerald Coast | Specialist | 348 Miracle Strip Pkwy Sw Ste 15, Fort Walton Beach, FL 32548-5258 | 2014-09-11 |
| 1336381375 | Christie Michele Morgan | Specialist | 205 Priscilla Dr, Suite 307, Fort Walton Beach, FL 32547-3225 | 2009-04-06 |
| 1740384254 | Kerri Morris | Specialist | 24 Hollywood Blvd., Suite 7, Fort Walton Beach, FL 32548 | 2006-09-13 |
| 1821043811 | Basil D. Fossum | Specialist | 914b Mar Walt Dr, Fort Walton Beach, FL 32547-6706 | 2006-05-24 |
| 1669447199 | Amit Patel | Specialist | 1032 Mar Walt Dr Unit 230, Fort Walton Beach, FL 32547-6661 | 2006-02-20 |
| 1417931585 | Jane A Pratt | Specialist | 219 Crewilla Dr Nw, Fort Walton Beach, FL 32548-3947 | 2005-12-02 |
| 1619979937 | Frank C Zondlo | Specialist | 999 Mar Walt Dr, Fort Walton Beach, FL 32547-6758 | 2005-06-01 |
| Find all providers in FORT WALTON BEACH | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
Please comment or provide details below to improve the information on SUZANNE NICOLE PEKAREK.
| 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.