SUELLEN M BLACK (NPI# 1770835233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770835233 |
| Entity Type | Individual |
| Full Name | SUELLEN M BLACK |
| Credential | ARNP |
| Practice Address |
4506 N Armenia Ave Tampa FL 33603-2732 |
| Practice Telephone | 8138793530 |
| Practice Fax Number | 8138746608 |
| Mailing Telephone | 8138793530 |
| Mailing Fax Number | 8138746608 |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
9347255 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | ARNP LICENSE | ARNP9347255 | 01 |
| Street Address |
4506 N ARMENIA AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33603-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700806692 | Julio J Valdes | Clinic/Center | 4506 N Armenia Ave, Tampa, FL 33603-2732 | 2006-07-20 |
| 1790131589 | Marilyn Pena | Nurse Practitioner | 4506 N Armenia Ave, 2901 W. St. Isabel St. Ste # D, Tampa, FL 33603-2732 | 2016-05-11 |
| 1578924353 | Marilyn Simeon Pena | Nurse Practitioner | 4506 N Armenia Ave, Tampa, FL 33603-2732 | 2016-03-08 |
| 1598035669 | Julio J Valdes, M.d.,pa | Specialist | 4506 N Armenia Ave, Tampa, FL 33603-2732 | 2012-01-06 |
| 1902038359 | Carmen Morrone | Pediatrics | 4506 N Armenia Ave, Tampa, FL 33603-2732 | 2009-08-19 |
| 1265455174 | Rose Nieves | Registered Nurse | 4506 N Armenia Ave, Tampa, FL 33603-2732 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400959 | Jean V. Dieudonne | Pharmacist | 701 W. Dr Martin Luther King Blvd, Tampa, FL 33603 | 2020-06-03 |
| 1538791082 | Champion Wellness Center of The Heights | Chiropractor | 800 W Martin Luther King Jr Blvd, Suite 3, Tampa, FL 33603 | 2020-02-12 |
| 1700366010 | Marie A Brister Md LLC | Family Medicine | 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 | 2018-08-16 |
| 1619415197 | Riverside Recovery of Tampa, LLC | Substance Abuse Rehabilitation Facility | 4004 N. Riverside Dr., Tampa, FL 33603 | 2017-02-06 |
| 1306213194 | Jacqueline Dowgiallo | Case Manager/Care Coordinator | 4004 N Riverside Dr, Tampa, FL 33603 | 2015-08-27 |
| 1629487061 | Robin Ann Waters | Social Worker | 1016 W Hillsborough Ave, Tampa, FL 33603 | 2014-08-11 |
| 1831430453 | Cassandra Gonzalez | Social Worker | 1726 W Rio Vista Ave, Tampa, FL 33603 | 2013-03-06 |
| 1487908893 | Spine Injury Physicians LLC | Neurological Surgery | 607 W Martin Luther King Blvd, Suite 1, Tampa, FL 33603 | 2012-11-07 |
| 1861742124 | Joseph Timothy Candelore Jr. | Internal Medicine | 2333 W Hillsborough Ave Ste 160, Tampa, FL 33603 | 2012-09-14 |
| 1679835599 | Odessa Biandudi | Dentist | 825 West Martin Luther King Boulevard, Tampa, FL 33603 | 2012-06-15 |
| Find all providers in zip 33603 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326168014 | Andrea Jean Velasco | Clinical Nurse Specialist | 3003 W Dr Mlk Jr Blvd, Mab 2nd Floor, Tampa, FL 33607-6307 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663180 | Brandy Michelle Garcia | Clinical Nurse Specialist | 807 Wiltonway Dr, Plant City, FL 33563-7001 | 2020-03-11 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1881182442 | Doris Ai Brown Shorkey | Clinical Nurse Specialist | 2201 N 50th Ave, Hollywood, FL 33021-4045 | 2018-04-28 |
| 1811351059 | Vladlena Eunus | Clinical Nurse Specialist | 4052 Sw 50th Rd, Ocala, FL 34474-9687 | 2016-04-13 |
| 1679821656 | Hope Jessecca Gunn | Clinical Nurse Specialist | Unf/s Hs 1 Unf Drive Building 39a, Jacksonville, FL 32224 | 2012-08-22 |
| 1639637804 | Barbara A Lennon | Clinical Nurse Specialist | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-03-06 |
| 1881067460 | Cheryl A Schmidt | Clinical Nurse Specialist | 6352 River Rd, New Port Richey, FL 34652-2241 | 2015-11-04 |
| 1407239759 | Kelsey Hughes-calhoun | Clinical Nurse Specialist | 8351 Westport Rd, Jacksonville, FL 32244-5901 | 2015-07-06 |
| 1669889176 | Amanda Szymanski | Clinical Nurse Specialist | 8200 S Jog Rd, Suite 203, Boynton Beach, FL 33472-2981 | 2014-07-16 |
| 1518215805 | Erica Self | Clinical Nurse Specialist | 1539 Parental Home Rd, Jacksonville, FL 32216-3009 | 2012-08-17 |
| 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.