SUSAN MARY MINTER (NPI# 1740477454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740477454 |
Entity Type | Individual |
Full Name | SUSAN MARY MINTER |
Credential | CRNP |
Practice Address |
21344 Race Horse Ln Brooksville FL 34604-6735 |
Practice Telephone | 5712146755 |
Mailing Telephone | 5712146755 |
Enumeration Date | 2007-09-26 |
Last Update Date | 2020-06-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0024167550 | VA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
21344 RACE HORSE LN |
City | BROOKSVILLE |
State | FL |
Zip Code | 34604-6735 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366940116 | Zackery T Wynn | Chiropractor | 3155 Aerial Way, Brooksville, FL 34604 | 2018-01-26 |
1841740545 | Debra Bence | Registered Nurse | 4259 Caskie Place, Brooksville, FLORIDA 34604 | 2016-10-06 |
1760671150 | Community Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14675 Copeland Way, Spring Hill, FL 34604-0000 | 2007-10-22 |
1750516878 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 3101 Aerial Way, Brooksville, FL 34604-0629 | 2009-05-19 |
1235424995 | John Michael Sivon Jr. | Pharmacist | 3101 Aerial Way, T-2489, Spring Hill, FL 34604-0629 | 2011-06-10 |
1801425251 | Global Jetcare, Inc. | Ambulance | 15421 Technology Dr, Brooksville, FL 34604-0634 | 2020-04-07 |
1558362798 | Jason O Baldwin | Pharmacist | 4002 Clear Spring Rd, Brooksville, FL 34604-0655 | 2005-08-10 |
1518950724 | Scott M Gebhardt | Internal Medicine | 2264 Dog Leg Ct, Brooksville, FL 34604-1000 | 2005-08-24 |
1770603045 | Melissa Ann Franz | Speech-Language Pathologist | 638 White Flower Way, Brooksville, FL 34604-1450 | 2007-03-30 |
1942606066 | Stephanie Safos-moriarty | Counselor | 15381 Durango Cir, Brooksville, FL 34604-5008 | 2014-11-17 |
Find all providers in zip 34604 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245795996 | Antonio Jose Cordova | Nurse Practitioner | 12900 Cortez Blvd Ste 102, Brooksville, FL 34613-6897 | 2019-02-07 |
1104247360 | Kimberly D Mccabe | Nurse Practitioner | 7276 Broad St, Brooksville, FL 34601-5591 | 2013-12-13 |
1194006072 | Laura Lynn Koach | Nurse Practitioner | 12083 Cortez Blvd, Brooksville, FL 34613-7350 | 2011-09-06 |
1942429550 | Stephen Plummer | Nurse Practitioner | 12148 Cortez Blvd, Brooksville, FL 34613 | 2007-04-24 |
1255359535 | Robin Eugenia Mariani | Nurse Practitioner | 14540 Cortez Blvd, Suite 108, Brooksville, FL 34613-6056 | 2006-07-17 |
1093759524 | Lorelle J Smith | Nurse Practitioner | 11479 Cortez Blvd, Brooksville, FL 34613-7367 | 2006-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871193292 | Paulette Vital-herne | Nurse Practitioner | 4449 Old Highway 41 S, Sun City, FL 33586-9700 | 2020-10-26 |
1144828104 | Shilpa Narahari Reddy | Nurse Practitioner | 19435 N Coquina Way, Weston, FL 33332-2417 | 2020-10-13 |
1023615440 | Bridget Mary Rossi | Nurse Practitioner | 1536 Alford Street, Unit 5, Jacksonville, FL 32207-3220 | 2020-10-08 |
1154928612 | Haili Harless | Nurse Practitioner | 3961 23rd Ave N, Saint Petersburg, FL 33713-4850 | 2020-10-07 |
1679170674 | Lorena Beatriz Canelon | Nurse Practitioner | 16151 Sw 147th Ln, Miami, FL 33196-6416 | 2020-10-04 |
1851998082 | Sanon Edmond | Nurse Practitioner | 5236 Arbor Glen Cir, Lake Worth, FL 33463-8066 | 2020-10-01 |
1710594114 | Sumelia Waddell | Nurse Practitioner | 462 Ne 210th Circle Ter Apt 204, Miami, FL 33179-5236 | 2020-09-29 |
1780291526 | Ilmary De Los Angeles Jimenez | Nurse Practitioner | 7909 Biltmore Blvd, Miramar, FL 33023-5829 | 2020-09-25 |
1972119535 | Dennis Carmelo Cadiz Serfino | Nurse Practitioner | 1960 Willesdon Dr E, Jacksonville, FL 32246-0694 | 2020-09-18 |
1760097745 | Amanee Orra | Nurse Practitioner | 3982 Bee Ridge Rd Ste H-a, Sarasota, FL 34233-1211 | 2020-09-15 |
Find all providers with the same taxonomy |
City | BROOKSVILLE |
Zip Code | 34604 |
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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.