SUSAN RENEE GILLESPIE (NPI# 1578858452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578858452 |
| Entity Type | Individual |
| Full Name | SUSAN RENEE GILLESPIE |
| Credential | ARNP-BC |
| Practice Address |
419 Racetrack Rd Nw Fort Walton Beach FL 32547-4612 |
| Practice Telephone | 8508621069 |
| Practice Fax Number | 8508625019 |
| Mailing Telephone | 8508621069 |
| Mailing Fax Number | 8508625019 |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2011-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9178880 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952881104 | Susan Peak Gillespie | Occupational Therapy Assistant | 12021 Metric Blvd, Austin, TX 78758-8616 | 2018-08-17 |
| 1235420811 | Susan Gentz Gillespie | Counselor | 1250 Connecticut Ave Nw, Suite 200, Washington, DC 20036-2603 | 2011-04-29 |
| 1235462086 | Susan B Gillespie | Nurse Practitioner | 2030 Sutter Pl, Suite 1000, Davis, CA 95616-6212 | 2009-09-11 |
| 1366522617 | Susan Lanelle Gillespie | Pediatrics | 6621 Fannin St, Houston, TX 77030-2303 | 2006-10-17 |
| 1992806384 | Susan M Gillespie | Psychologist | 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 | 2006-09-26 |
| 1225009582 | Susan Gillespie | Nurse Anesthetist, Certified Registered | 1275 York Ave, New York, NY 10021-6007 | 2006-01-26 |
| Street Address |
419 RACETRACK RD NW |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-4612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548852 | Kay Robinson | Behavior Technician | 419 Racetrack Rd Nw, Fort Walton Beach, FL 32547-4612 | 2020-11-02 |
| 1710593348 | Lilli Katherine Wilkinson | Behavior Technician | 419 Racetrack Rd Nw, Fort Walton Beach, FL 32547-4612 | 2020-09-18 |
| 1720691835 | Angela Patricia Vaughn | Behavior Technician | 419 Racetrack Rd Nw, Fort Walton Beach, FL 32547-4612 | 2020-08-28 |
| 1821601873 | Shannon L. Maris | Behavior Technician | 419 Racetrack Rd Nw, Fort Walton Beach, FL 32547-4612 | 2020-08-28 |
| 1053974527 | Kayla Williams | Behavior Technician | 419 Racetrack Rd Nw, Fort Walton Beach, FL 32547-4612 | 2019-04-19 |
| 1386100378 | Haley Kay Meyer | Behavior Technician | 419 Racetrack Rd Nw, Fort Walton Beach, FL 32547-4612 | 2019-02-14 |
| 1386129658 | Michelle L Chumbley | Behavior Technician | 419 Racetrack Rd Nw, Fort Walton Beach, FL 32547-4612 | 2018-10-02 |
| 1215414529 | Mallory E Amrhein | Behavior Technician | 419 Racetrack Rd Nw, Fort Walton Beach, FL 32547-4612 | 2018-07-20 |
| 1649760968 | Timothy H Bulger IIi | Behavior Technician | 419 Racetrack Rd Nw, Fort Walton Beach, FL 32547-4612 | 2018-05-11 |
| 1053808154 | Megan Wolter | Behavioral Analyst | 419 Racetrack Rd Nw, Fort Walton Beach, FL 32547-4612 | 2018-04-16 |
| Find all providers in the same location | ||||
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1336633718 | Poorita Mitra Singh | Nurse Practitioner | 333 Miracle Strip Pkwy Sw, Fort Walton Beach, FL 32548-5209 | 2018-06-19 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1134630197 | Brianne Jane Freel | Nurse Practitioner | 1032 Mar Walt Dr Unit 210, Fort Walton Beach, FL 32547-6661 | 2017-10-18 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| 1932413994 | Cherri Ann Jennewein | Nurse Practitioner | 722 Rodney Ave Ne, Fort Walton Beach, FL 32547-1739 | 2010-08-02 |
| 1558529164 | Robin Jake Worring Yelverton | Nurse Practitioner | 514 Mary Esther Cut Off Nw, Fort Walton Beach, FL 32548-4047 | 2008-05-30 |
| 1518987460 | Catharine Danila Johnson | Nurse Practitioner | 417 Racetrack Rd Nw, Fort Walton Beach, FL 32547-4612 | 2006-07-20 |
| 1235112939 | Penny R Frantz | Nurse Practitioner | 914c Mar Walt Dr, Fort Walton Beach, FL 32547-6706 | 2005-11-28 |
| 1568085819 | Brenda Anais Ramirez | Nurse Practitioner | 1118 Hospital Rd, Fort Walton Beach, FL 32547-6742 | 2020-05-21 |
| 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 SUSAN RENEE GILLESPIE.
| 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.