SUSAN OTT


Address: 155 Crystal Beach Dr Ste 137c, Destin, FL 32541-3588
Phone: 8504607090

SUSAN OTT (NPI# 1316922081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316922081
Entity Type Individual
Full Name SUSAN OTT
Credential ARNP
Practice Address 155 Crystal Beach Dr Ste 137c
Destin
FL 32541-3588
Practice Telephone 8504607090
Practice Fax Number 8504607093
Mailing Telephone 8504607090
Mailing Fax Number 8504609073
Enumeration Date 2005-12-14
Last Update Date 2014-01-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner ARNP3075942 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 302337100 05

Other Providers SUSAN OTT

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1477044469 Susan Margaret Ott Psychologist 2 Shaker Rd Ste D221, Shirley, MA 01464-2535 2018-05-24
1023152626 Susan Mary Ott Nurse Practitioner 4800 Friendship Ave, Pittsburgh, PA 15224-1722 2007-02-16
1447328299 Susan Marie Ott Orthopaedic Surgery 113 E Williams St, Owosso, MI 48867-2360 2006-12-01
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Office Location

Street Address 155 CRYSTAL BEACH DR STE 137C
City DESTIN
State FL
Zip Code 32541-3588

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265711139 Diabetes and Endocrine Clinic Pllc Internal Medicine 155 Crystal Beach Dr Ste 137c, Destin, FL 32541-3588 2011-08-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578020574 Wal-mart Stores East, Lp Durable Medical Equipment & Medical Supplies Sec of Hwy 98 and Gulf Shore Drive, Destin, FL 32541 2019-02-26
1932640471 Kathryn Clower Chiropractor 36474c Emerald Coast Pkwy Ste 3101, Destin, FL 32541 2017-03-16
1881133148 Danielle Mckinney Physical Therapist 35008 Emerald Coast Pkwy Ste 400, Destin, FL 32541 2017-02-20
1417304643 Coastal Pediatric Group Pediatrics 36468 Emerald Coast Pkwy Unit 2101, Destin, FL 32541 2016-05-17
1336563956 Blu By The Sea,llc Clinic/Center 3399 Scenic Highway 98, Destin, FL 32541 2014-02-18
1740539535 Courtney Breaux Mcgee Physician Assistant 155 Crystal Beach Drive #121, Destin, FL 32541 2012-09-07
1073861704 Nathan Hall Dmd Pl Dentist 4484 Legendary Dr, Suite B, Destin, FL 32541 2012-08-28
1982991121 Bayshore Retreat, LLC Substance Abuse Rehabilitation Facility 457 Cahoun Ave, Destin, FL 32541 2011-07-08
1457661605 Destin Surgery Clinic, P.a. Specialist 415 Mountain Drive, Suite # 6, Destin, FL 32541 2010-10-20
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093263907 Nicole Miller Nurse Practitioner 137 Crystal Beach Dr, Destin, FL 32541-3569 2016-09-20
1588935712 Jill M Allen Arnp LLC Nurse Practitioner 3695 Scenic Highway 98 Unit 1004, Destin, FL 32541-0700 2012-01-19
1518341478 Anna Lucille Braun Nurse Practitioner 155 Crystal Beach Dr Ste 200, Destin, FL 32541-3588 2015-07-10
1316922073 Jaime Braden Nurse Practitioner 7720 Us Highway 98 W, Internal Medicine Department, Destin, FL 32550-7232 2005-12-14

Providers in the same taxonomy and state

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1356942031 Jorge Luis Ulloa Capestany Nurse Practitioner 6865 W 7th Ave Apt 408, Hialeah, FL 33014-4877 2020-11-08
1316548126 Mitza Lacroix Nurse Practitioner 2670 Sw 83rd Ave, Miramar, FL 33025-7413 2020-11-06
1295336337 Eduardo Wilfredo Loredo Nurse Practitioner 2930 Nw 156th St, Opa Locka, FL 33054-2226 2020-11-05
1962003004 Yudaisy Salgueiro Nurse Practitioner 307 Nw 72nd Ave Apt 319, Miami, FL 33126-4304 2020-11-05
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1790386811 Louise Lorraine Voltaire Nurse Practitioner 7728 Nw Greenspring St, Port St Lucie, FL 34987-3052 2020-11-04
1750982294 Hyun-ae Kuh Nurse Practitioner 1628 Slash Pine Pl, Oviedo, FL 32765-6270 2020-11-02
1033719687 Biviana Maria Arroyave Nurse Practitioner 2293 Ne 122nd St, North Miami, FL 33181-2910 2020-10-30
1831799790 Jennmobilemed, Inc. Nurse Practitioner 631 Sw 17th Ct, Boca Raton, FL 33486-6413 2020-10-29
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Competitor

Search similar providers

City DESTIN
Zip Code 32541

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Dataset Information

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.

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