SUSANNAH M BULTRON (NPI# 1245867597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245867597 |
| Entity Type | Individual |
| Full Name | SUSANNAH M BULTRON |
| Practice Address |
1663 Williambrg Sq 1663 Williambrg Sq Tampa FL 33611 |
| Mailing Address |
1663 Williambrg Sq Tampa FL 33611 |
| Practice Telephone | 8133904879 |
| Mailing Telephone | 8133904879 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | FL | Agencies |
| Street Address |
1663 WILLIAMBRG SQ 1663 WILLIAMBRG SQ |
| City | TAMPA |
| State | FL |
| Zip Code | 33611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519224 | Health & Glow Primary Care & Med Spa LLC | Internal Medicine | 4331 S Manhattan Ave, Tampa, FL 33611 | 2020-08-18 |
| 1265077499 | Jenna Davis | Counselor | 4517 S Shamrock Rd, Tampa, FL 33611 | 2019-11-12 |
| 1023585114 | Samantha Lee Hamlin | Dietitian, Registered | 4003 S West Shore Blvd, Apt 4810, Tampa, FL 33611 | 2018-10-27 |
| 1023502572 | Sunset Chiropractic P.a. | Chiropractor | 3826 South Dale Mabry Hwy, South Tampa, FL 33611 | 2018-06-19 |
| 1033654843 | Nicole A Devlieger | Specialist/Technologist | 4539 S Dale Mabry Hwy Ste 110, Tampa, FL 33611 | 2017-01-03 |
| 1740633064 | Charles Lindsey | Case Manager/Care Coordinator | 5215 South Westshore Blvd. #31, Tampa, FL 33611 | 2016-07-21 |
| 1699145078 | Sarah Milam | Physical Therapist | 3111 W.martin Luther King Jr Blvd, Suite # 500, Tampa, FL 33611 | 2015-09-29 |
| 1912399163 | Robert Robertson | Pharmacist | 4317 Gandy Blvd, Tampa, FL 33611 | 2015-02-25 |
| 1730514225 | Charles Samuel Mahan | Obstetrics & Gynecology | 3111 E. Fletcher Av., Tampa, FL 33611 | 2013-09-04 |
| 1518217850 | Sicily George | Case Manager/Care Coordinator | 4815 W. Bayvilla Avenue, Tampa, FL 33611 | 2012-09-13 |
| Find all providers in zip 33611 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193748 | Cherrish M Jackson | Home Health | 1330 Treasure Key Ct, Tampa, FL 33612-8819 | 2020-10-29 |
| 1043817539 | Adreaion S Algere | Home Health | 8304 N Hillsborough Ln, Tampa, FL 33604-3531 | 2020-10-07 |
| 1316552078 | Absolute Home Health II LLC | Home Health | 13542 N Florida Ave Ste 112a, Tampa, FL 33613-3206 | 2020-09-10 |
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1558972935 | Innovative Healthcare of Florida, Inc. | Home Health | 8903 Bruce B Downs Blvd, Tampa, FL 33647 | 2020-08-11 |
| 1013526532 | Holistic Home Health Inc | Home Health | 8316 Hanley Rd Ste 14, Tampa, FL 33634-2284 | 2020-07-30 |
| 1407465131 | Palm Leaves Home Health Care | Home Health | 12094 Anderson Rd # 323, Tampa, FL 33625-5682 | 2020-07-28 |
| 1275141574 | Daneiry Moya | Home Health | 7007 Seabury Ct, Tampa, FL 33615-2958 | 2020-07-22 |
| 1568070035 | Continued Health Services, LLC | Home Health | 8724 N Edison Ave, Tampa, FL 33604-1215 | 2020-07-21 |
| 1275159436 | Absolute Healthcare Services, LLC | Home Health | 12421 N Florida Ave Ste 210, Tampa, FL 33612-4277 | 2020-06-23 |
| Find all providers in TAMPA | ||||
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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.