SUSAN E BRAVO (NPI# 1679592273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679592273 |
| Entity Type | Individual |
| Full Name | SUSAN E BRAVO |
| Credential | ARNP |
| Practice Address |
2150 Se Salerno Rd Stuart FL 34997-6572 |
| Mailing Address |
Po Box 417 Stuart FL 34995-0417 |
| Practice Telephone | 7722235777 |
| Practice Fax Number | 7722235751 |
| Mailing Telephone | 7722235665 |
| Mailing Fax Number | 7722235646 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN1949502 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 301245000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114399193 | Susan Bravo | Counselor | 2405 Bemiss Rd, Valdosta, GA 31602-1936 | 2015-10-29 |
| 1689881310 | Susan Vicuna Bravo | Nurse Practitioner | 1415 Ross Ave, Calexico Outpatient Center, El Centro, CA 92243-4306 | 2007-05-16 |
| Street Address |
2150 SE SALERNO RD |
| City | STUART |
| State | FL |
| Zip Code | 34997-6572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629097076 | Coastal Care Corporation | Non-emergency Medical Transport (VAN) | 2150 Se Salerno Rd, Stuart, FL 34997-6572 | 2006-07-18 |
| 1619212834 | Gracie A Turner | Internal Medicine | 2150 Se Salerno Rd, Ste 200, Stuart, FL 34997-6572 | 2012-11-28 |
| 1053622183 | Anthony Liberatore | Internal Medicine | 2150 Se Salerno Rd, Stuart, FL 34997 | 2010-06-23 |
| 1003051699 | Laura Munoz Beringer | Internal Medicine | 2150 Se Salerno Rd, Stuart, FL 34997-6572 | 2008-12-10 |
| 1639337140 | Gary J Guzzardo, M.d., P.a. | Specialist | 2150 Se Salerno Rd, Suite 200, Stuart, FL 34997-6572 | 2008-05-30 |
| 1861545303 | Jay Waddadar | Internal Medicine | 2150 Se Salerno Rd, Ste 200, Stuart, FL 34997-6572 | 2007-01-19 |
| 1720143985 | Roxanne E Stuart | Nurse Practitioner | 2150 Se Salerno Rd, Suite 116, Stuart, FL 34997-6572 | 2006-12-27 |
| 1629086020 | Matthew R Speicher | Internal Medicine | 2150 Se Salerno Rd, Ste 200, Stuart, FL 34997-6572 | 2006-08-03 |
| 1255346003 | Genon Michelle Wicina | Pediatrics | 2150 Se Salerno Rd, Suite 116, Stuart, FL 34997-6572 | 2006-07-30 |
| 1093729808 | William S Ritter | Internal Medicine | 2150 Se Salerno Rd, Ste 200, Stuart, FL 34997-6572 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
| 1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
| 1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
| 1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
| 1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
| 1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
| 1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
| 1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
| Find all providers in zip 34997 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966830 | Tatiana S Beir | Nurse Practitioner | 1400 Nw Federal Hwy, Stuart, FL 34994-1020 | 2020-09-11 |
| 1144791575 | Ashley Lynn East | Nurse Practitioner | 1141 Se Indian St Ste 102, Stuart, FL 34997-5764 | 2018-12-11 |
| 1548773096 | Donna J Thomas | Nurse Practitioner | 6581 Se Baltusrol Ter, Stuart, FL 34997-8679 | 2017-11-07 |
| 1508238031 | Nidia Garcia | Nurse Practitioner | 1050 Se Monterey Rd Ste 204, Stuart, FL 34994-4512 | 2015-10-23 |
| 1811241029 | Jeanette Anastacia Reyes | Nurse Practitioner | 931 Se Ocean Blvd Ste A, Stuart, FL 34994-2425 | 2012-11-09 |
| 1083985717 | Elizabeth N Rosainz | Nurse Practitioner | 900 Se Salerno Road, Stuart, FL 34997 | 2012-01-26 |
| 1912289588 | Kim Mohler | Nurse Practitioner | 200 Se Hospital Avenue, Stuart, FL 34995-0417 | 2011-09-09 |
| 1255418307 | Leslie Suzanne Sparks | Nurse Practitioner | 1607 B Nw Federal Hwy, Stuart, FL 34994 | 2006-11-01 |
| 1780618306 | Erika A Cilurso | Nurse Practitioner | 863 Se Monterey Commons Blvd, Stuart, FL 34996 | 2006-07-10 |
| 1184676405 | Mechele Lee Smith | Nurse Practitioner | 2456 Sw Regency Rd, Stuart, FL 34997-1220 | 2006-05-16 |
| Find all providers in STUART | ||||
Please comment or provide details below to improve the information on SUSAN E BRAVO.
| 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.