SUZIE JEROME-LEACOCK (NPI# 1902348105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902348105 |
| Entity Type | Individual |
| Full Name | SUZIE JEROME-LEACOCK |
| Credential | ARNP |
| Practice Address |
17611 Nw 11th Ave Miami FL 33169-4609 |
| Practice Telephone | 3057200577 |
| Mailing Telephone | 3057200577 |
| Enumeration Date | 2016-11-06 |
| Last Update Date | 2016-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
9324336 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | ANCC | 2016009392 | 01 |
| Street Address |
17611 NW 11TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33169-4609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265122 | Monarch Mental Health Services, LLC | Physician Assistant | 648 Nw 183 St, Miami, FL 33169 | 2020-05-04 |
| 1871158873 | Positive Point Inc | Substance Abuse Rehabilitation Facility | 111 Nw 183rd Street Suite 423, Miami, FL 33169 | 2019-05-06 |
| 1447736251 | Anoshah Justine Pierre | Nurse Practitioner | 580 Nw 189th Street, Miami, FL 33169 | 2018-07-15 |
| 1770074627 | Jorge E Quinzada | Occupational Therapist | 18350 Nw 2ave, Miami, Gardens,fl, FL 33169 | 2018-05-27 |
| 1043700578 | South Beach Detox LLC | Substance Abuse Rehabilitation Facility | 85 Nw 168th St, North Miami Beach, FL 33169 | 2018-05-10 |
| 1689197972 | Misurez Medical Center Corp | General Practice | 18350 Nw 2 Ave, 622, Miami Gardens, FL 33169 | 2017-07-19 |
| 1831619733 | Barbara C Chacon | Behavior Technician | 130 Nw 191 St, Miami, FL 33169 | 2017-06-21 |
| 1780041665 | Elizabeth Lovette Ugokwe | Registered Nurse | 330 North Biscayne River Drive, Miami, FL 33169 | 2016-01-22 |
| 1205221207 | Cristina Dou | Family Medicine | Vitas Hospice 16800 Nw 2nd Ave, Suite 400, Miami Beach, FL 33169 | 2015-04-06 |
| 1457757635 | Anthony Richard Denbow | Assisted Living Facility | 1074 Nw 153 Street, Miami, FL 33169 | 2014-11-14 |
| Find all providers in zip 33169 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800974 | Justo J Ruiz | Nurse Practitioner | 11740 Sw 26th Ter, Miami, FL 33175-2451 | 2020-10-28 |
| 1023623493 | Laura Perez-castillo | Nurse Practitioner | 11358 Sw 163rd St, Miami, FL 33157-2708 | 2020-09-13 |
| 1922611813 | Ashley Nicole Corrales | Nurse Practitioner | 13350 Sw 58th Ter Apt 8, Miami, FL 33183-1252 | 2020-08-28 |
| 1346853777 | Any C. Bejarano | Nurse Practitioner | 15608 Sw 127th Ave Apt 101, Miami, FL 33177-1413 | 2020-08-25 |
| 1962014423 | Stephanie Ann Robaina | Nurse Practitioner | 5930 Sw 108th Pl, Miami, FL 33173-1230 | 2020-08-17 |
| 1609487792 | Yailin Homen | Nurse Practitioner | 10401 Sw 108th Ave Apt 243, Miami, FL 33176-8141 | 2020-08-12 |
| 1013527001 | Juliette Quintana | Nurse Practitioner | 9915 Sw 84th St, Miami, FL 33173-3910 | 2020-08-04 |
| 1386253656 | Javier Alfonso Bautista | Nurse Practitioner | 470 Ne 110th Ter, Miami, FL 33161-7152 | 2020-07-23 |
| 1598373912 | Edmond Lee | Nurse Practitioner | 219 Nw 12th Ave Apt 910, Miami, FL 33128-2208 | 2020-07-22 |
| 1295351765 | Shara Filomena Costa Anderson | Nurse Practitioner | 8600 Sw 92nd St Ste 204b, Miami, FL 33156-7377 | 2020-06-22 |
| Find all providers in MIAMI | ||||
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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.