SUSAN MICHELLE BLIZZARD (NPI# 1114438124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114438124 |
| Entity Type | Individual |
| Full Name | SUSAN MICHELLE BLIZZARD |
| Practice Address |
211 Ranchera St Nw Live Oak FL 32064-4866 |
| Mailing Address |
Po Box 26029 Tampa FL 33623-6029 |
| Practice Telephone | 3863641751 |
| Practice Fax Number | 3863641761 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9217611 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
211 RANCHERA ST NW |
| City | LIVE OAK |
| State | FL |
| Zip Code | 32064-4866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902874233 | James C Razi | Family Medicine | 211 Ranchera St Nw, Live Oak, FL 32064-4866 | 2006-03-11 |
| 1598318024 | Teri Roessler-kennedy | Registered Nurse | 211 Ranchera St Nw, Live Oak, FL 32064-4866 | 2019-07-23 |
| 1194288787 | Jennifer Sullivan Merola | Nurse Practitioner | 211 Ranchera St Nw, Live Oak, FL 32064-4866 | 2019-04-10 |
| 1124432042 | Trenton Medical Center, Inc. | Clinic/Center | 211 Ranchera St Nw, Live Oak, FL 32064 | 2014-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517988 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2215 Ohio Ave N, Live Oak, FL 32064 | 2020-08-05 |
| 1821641150 | North Florida Natural Health, Inc | Clinic/Center | 405 11th Street Sw, Suite 206, Live Oak, FL 32064 | 2019-07-16 |
| 1558602482 | North Florida Pediatrics, Pa | Pediatrics | 1101 Ohio Ave South, Live Oak, FL 32064 | 2013-03-01 |
| 1427372093 | Steele Chiropractic Center, Inc | Chiropractor | 609 5th Street S.w., Suite 3, Live Oak, FL 32064 | 2010-03-25 |
| 1982855896 | John Workman, Dc, Pllc | Chiropractor | 216 Duval St Nw, Live Oak, FL 32064 | 2008-10-09 |
| 1629255799 | Alec Floyd Redfearn Jr. | Dentist | 931 North Ohio Avenue, Live Oak, FL 32064 | 2008-01-30 |
| 1639369051 | Julie L Owens Od Pa | Optometrist | 522 S. Ohio Ave, Live Oak, FL 32064 | 2007-08-01 |
| 1568512291 | Gina R Marler | Speech-Language Pathologist | 609 5th Street Sw Suite 3, Live Oak, FL 32064 | 2007-01-12 |
| 1174687230 | Suwannee County School Board | Local Education Agency (LEA) | 702 E Second St Nw, Live Oak, FL 32064 | 2006-12-21 |
| 1134235583 | Richard D Cason | Chiropractor | 328 West Howard Street, Live Oak, FL 32064 | 2006-08-21 |
| Find all providers in zip 32064 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850751 | Jeremy Wayne Burns | Nurse Practitioner | 7223 Avery Rd, Live Oak, TX 78233-5400 | 2020-01-22 |
| 1134609704 | David Wayne Davis | Nurse Practitioner | 211 Ranchera St. Nw, Live Oak, FL 32064-8463 | 2018-08-14 |
| 1922515667 | Yvette Brooks | Nurse Practitioner | 14000 Dane Park, Live Oak, TX 78233-5361 | 2018-01-03 |
| 1942749015 | Heather Meree Miles | Nurse Practitioner | 12602 Toepperwein Rd Ste 201, Live Oak, TX 78233-3271 | 2017-02-21 |
| 1134673700 | Catherine Fleischman | Nurse Practitioner | 1101 Ohio Ave S, Live Oak, FL 32064-4146 | 2016-08-11 |
| 1710356282 | Callie Ann Smith | Nurse Practitioner | 9787 100th Pl, Live Oak, FL 32060-7013 | 2015-09-15 |
| 1194142406 | Maegan Mendoza Cheatham | Nurse Practitioner | 12602 Toepperwein Rd Ste 100, Live Oak, TX 78233-3204 | 2014-03-25 |
| 1487902417 | Michelle Denise Morris | Nurse Practitioner | 100 Court St Se Ste 109, Live Oak, FL 32064-3203 | 2012-08-23 |
| 1194811893 | Dana Faye Barrett-campbell | Nurse Practitioner | 7185 County Road 252, Live Oak, FL 32060-0868 | 2006-10-04 |
| 1588298129 | Brittney Ann Burns | Nurse Practitioner | 7223 Avery Rd, Live Oak, TX 78233-5400 | 2020-02-22 |
| Find all providers in LIVE OAK | ||||
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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.