GINA SUSSI (NPI# 1164579868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164579868 |
| Entity Type | Individual |
| Full Name | GINA SUSSI |
| Credential | ARNP |
| Practice Address |
19621 Cochran Blvd Ste 3 Port Charlotte FL 33948-2070 |
| Mailing Address |
6015 Pointe West Blvd Bradenton FL 34209-5525 |
| Practice Telephone | 9413214613 |
| Mailing Telephone | 9417921404 |
| Mailing Fax Number | 9417610712 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN9342254 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F303615-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
19621 COCHRAN BLVD STE 3 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33948-2070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083956239 | Andrew Gordon Cook | Anesthesiology | 19621 Cochran Blvd Ste 3, Port Charlotte, FL 33948 | 2013-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926705 | Kelli Sue Boley | Pharmacist | 19100 Murdock Circle, Port Charlotte, FL 33948 | 2019-11-14 |
| 1013469709 | Daria Erdmann | Counselor | 1720 El Jobean Rd Unit 200, Port Charlotte, FL 33948 | 2016-10-27 |
| 1699172270 | Best Hearing Aid Solutions, Inc | Hearing Instrument Specialist | 1931 Tamiami Tr #7, Port Charlotte, FL 33948 | 2014-11-26 |
| 1811331283 | Nic 4 Village Place Leasing LLC | Assisted Living Facility | 18400 Cochran Blvd., Port Charlotte, FL 33948 | 2013-04-29 |
| 1215277686 | Sarah Anne Baker | Physical Therapy Assistant | 18480 Corcoran Blvd., Port Charlotte, FL 33948 | 2013-02-22 |
| 1023362373 | Clement Gustavous Smith | Adult Companion | 3081 Jody Street, Port Charlotte, FL 33948 | 2012-11-07 |
| 1306106232 | Charlotte County Family Ymca, Inc | Physical Therapist | 19333 Quesada Ave, Port Charlotte, FL 33948 | 2012-05-25 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1902060601 | Domingo E Galliano Jr Pa | Surgery | 18308 Murdock Circle 108, Domingo E Galliano Jr Md Pa, Port Charlotte, FL 33948 | 2008-07-11 |
| Find all providers in zip 33948 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992161061 | Stephanie Knapp | Nurse Practitioner | 2525 Harbor Blvd Ste 102, Port Charlotte, FL 33952-5338 | 2016-01-05 |
| 1679730303 | Renee Schroeder | Nurse Practitioner | 2484 Caring Way Unit D, Port Charlotte, FL 33952-5306 | 2008-05-20 |
| 1497398606 | Bernadette Serafini | Nurse Practitioner | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2019-10-21 |
| 1417457425 | Nicholas John Newbold Jr. | Nurse Practitioner | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2018-02-16 |
| 1487033072 | Rae Ann High | Nurse Practitioner | 21942 Edgewater Dr, Port Charlotte, FL 33952-9723 | 2015-05-28 |
| 1568870806 | Sara Logan | Nurse Practitioner | 2525 Harbor Blvd, Suite 104, Port Charlotte, FL 33952-5317 | 2014-07-31 |
| 1881023679 | Julita Lathers | Nurse Practitioner | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2013-11-02 |
| 1770888141 | Lissette Maria Dominguez | Nurse Practitioner | 2625 Tamiami Trl, Suite 5, Port Charlotte, FL 33952-6403 | 2011-01-17 |
| 1346567674 | Karen Rudolph | Nurse Practitioner | 2525 Harbor Blvd, Suite 202, Port Charlotte, FL 33952-5317 | 2010-04-27 |
| 1700027869 | Mobile Np LLC | Nurse Practitioner | 2625 Tamiami Trl, Port Charlotte, FL 33952-6478 | 2009-03-18 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33948 |
Please comment or provide details below to improve the information on GINA SUSSI.
| 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.