SUSAN WIGGLESWORTH STAUDINGER (NPI# 1952741910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952741910 |
| Entity Type | Individual |
| Full Name | SUSAN WIGGLESWORTH STAUDINGER |
| Other Name | SUSAN LEIGH STAUDINGER |
| Credential | NP |
| Practice Address |
122 W Central Ave Winter Haven FL 33880-6313 |
| Mailing Address |
4422 Mahogany Run Winter Haven FL 33884-2983 |
| Practice Telephone | 8632996562 |
| Mailing Telephone | 8633261884 |
| Enumeration Date | 2013-07-04 |
| Last Update Date | 2013-07-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
ARNP1279382 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
122 W CENTRAL AVE |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33880-6313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962849323 | Brenda Kvamme Luedeman | Nurse Practitioner | 122 W Central Ave, Winter Haven, FL 33880-6313 | 2013-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851896955 | Cheryl Gonzalez | Physical Therapy Assistant | 1601 6th Street Swe, Winter Haven, FL 33880 | 2018-03-29 |
| 1265950661 | Integrity Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 135 1st Street South, Winter Haven, FL 33880 | 2017-09-06 |
| 1912423427 | Stacy Lewis | Counselor | 1943 Ave E Sw, Winter Haven, FL 33880 | 2017-08-16 |
| 1497275952 | Kleine Pediatrics | Pediatrics | 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 | 2017-06-26 |
| 1255851457 | Farah N Habib | Dentist | 375 E Central Ave, Suite 361, Winter Haven, FL 33880 | 2017-06-20 |
| 1356878086 | Congruent Hearts Companions | Home Health | 111 Ave R N.e., Winter, FL 33880 | 2017-05-12 |
| 1689033201 | Jason Acosta | General Practice | 111 Avenue A Se, Winter Haven, FL 33880 | 2016-02-11 |
| 1629440573 | National Vision, Inc. | Technician/Technologist | 341 & 343 Cypress Gardens Blvd, Winter Haven, FL 33880 | 2015-10-30 |
| 1518336825 | Nicole A. Domenech | General Practice | 950 First St. South, Winter Haven, FL 33880 | 2015-09-16 |
| 1447666417 | Lee Tramell Vickers | Pharmacist | 701 1st Street, Winter Haven, FL 33880 | 2014-07-10 |
| Find all providers in zip 33880 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171185 | Amy Christine Smith | Clinical Nurse Specialist | 5901 Bowen Daniel Dr Unit 107, Tampa, FL 33616-1454 | 2020-10-16 |
| 1174099550 | Janet M Farrelly | Clinical Nurse Specialist | 242 Basque Rd, St Augustine, FL 32080-7303 | 2018-10-23 |
| 1972967990 | Advance Premier Network, Corp | Clinical Nurse Specialist | 10621 N. Kendall Dr Suite 214, Miami, FL 33176 | 2016-04-06 |
| 1871952226 | Mklj Corporation | Clinical Nurse Specialist | 301 Se 1st St, Belle Glade, FL 33430-3503 | 2016-02-13 |
| 1487042297 | Joseph Cassamajor | Clinical Nurse Specialist | 1620 Stonehaven Dr Apt 5, Boynton Beach, FL 33436-6535 | 2014-12-31 |
| 1235531229 | Lori J Wesson Arnp, Inc | Clinical Nurse Specialist | 1807 Manasota Beach Rd, Englewood, FL 34223-6462 | 2014-09-22 |
| 1689096943 | Yuneisy Ruiz | Clinical Nurse Specialist | 15542 Sw 8th Ln, Miami, FL 33194-2477 | 2014-01-06 |
| 1821419888 | Susan Hartsfield | Clinical Nurse Specialist | 2235 Lakeshore Dr, Mount Dora, FL 32757-4707 | 2013-12-18 |
| 1780024166 | Marc Peggy Joseph | Clinical Nurse Specialist | 6757 Petunia Dr, Miramar, FL 33023-4850 | 2013-06-28 |
| 1043554694 | Freire-pinto Pa | Clinical Nurse Specialist | 2630 Sw 80th Ave, Miami, FL 33155-2553 | 2012-11-20 |
| Find all providers with the same taxonomy | ||||
| City | WINTER HAVEN |
| Zip Code | 33880 |
Please comment or provide details below to improve the information on SUSAN WIGGLESWORTH STAUDINGER.
| 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.