SUSAN ELLEN FIELDS (NPI# 1366005357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366005357 |
Entity Type | Individual |
Full Name | SUSAN ELLEN FIELDS |
Credential | APRN |
Practice Address |
725 N 12th Ave Bldg B Arcadia FL 34266-8752 |
Practice Telephone | 2399365250 |
Practice Fax Number | 2399369970 |
Mailing Telephone | 2399365250 |
Mailing Fax Number | 2399369970 |
Enumeration Date | 2019-04-16 |
Last Update Date | 2019-04-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN11001788 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013900042 | Susan D Fields | Social Worker | 329 N State of Franklin Rd, Johnson City, TN 37604-6062 | 2005-08-24 |
1679047344 | Susan Lin Fields | Counselor | 1902 2nd Ave, Seattle, WA 98101-1155 | 2019-01-16 |
1083103469 | Susan Fields | Pharmacist | 1700 N 7 Hwy, Blue Springs, MO 64014-1938 | 2018-05-01 |
1043747371 | Susan Ann Fields | Pharmacist | 31550 Chieftain Dr, Logan, OH 43138-9087 | 2017-05-17 |
1982032975 | Susan Carol Fields | Social Worker | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2013-10-29 |
1588995823 | Susan Tansey Fields | Speech-Language Pathologist | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2010-01-27 |
1528247509 | Susan M Fields | Social Worker | 268 Stillwater Ave, Acadia Hospital Corp, Bangor, ME 04401 | 2007-10-26 |
1306923388 | Susan E Fields | Nurse Practitioner | 150 Infirmary Way, University Health Services, Amherst, MA 01003-9288 | 2006-11-01 |
Street Address |
725 N 12TH AVE BLDG B |
City | ARCADIA |
State | FL |
Zip Code | 34266-8752 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073575320 | Antonio J Larranaga Jr. | Psychiatry & Neurology | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2006-04-03 |
1477112993 | Lucie Remy Thomas | Nurse Practitioner | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2019-06-08 |
1881252435 | Roshni Dasan | Nurse Practitioner | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2019-05-30 |
1710455936 | Jena Liane Lieb | Psychologist | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2018-11-06 |
1164999421 | Amanda Waggoner | Psychologist | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2018-10-25 |
1518442169 | Elizabeth Forbes | Nurse Practitioner | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2018-09-29 |
1386134039 | Mary Loftus | Social Worker | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2018-05-17 |
1023516150 | Dallas Carey | Psychologist | 725 N 12th Ave Bldg B, Arcadia, FL 34266 | 2018-01-23 |
1033649512 | Michelle Paisley | Social Worker | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2017-06-15 |
1255874467 | Steven Poucher | Social Worker | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2016-11-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578102471 | Catherine Cosgrave | Nurse Practitioner | 13619 Fl-70, Arcadia, FL 34266 | 2019-12-26 |
1194102285 | Catalyst Walk-in Clinic | Clinic/Center | 1707 East Oak Street, Arcadia, FL 34266 | 2015-04-28 |
1538562699 | Corinthia Harrison Ross | Counselor | 720 Sw Martin Luther King St, Arcadia, FL 34266 | 2014-10-03 |
1770983009 | Terry L Chouinard | General Acute Care Hospital | 1031 E Oak Street, Arcadia, FL 34266 | 2014-08-22 |
1922342336 | Ironhead Ranch, Inc. | Assisted Living Facility | 1711 Sw County Rd 760a, Arcadia, FL 34266 | 2012-11-26 |
1841534666 | Ironhead Ranch, Inc. | Assisted Living Facility | 2605 Sw Baldwin St, Arcadia, FL 34266 | 2012-11-16 |
1336499367 | Precious Angels Home Care | Home Health | 18 N Polk Ave, Arcadia, FL 34266 | 2012-09-18 |
1891064721 | Manatee Diagnostic Center, Ltd | Radiology | 833 N Robert Avenue, Arcadia, FL 34266 | 2011-12-21 |
1952547853 | Dorothy A Smith | Massage Therapist | 702 N. Robert Ave, Arcadia, FL 34266 | 2008-12-23 |
1851588057 | Leslie Krajcovic | Dentist | 930 E Gibson St, Arcadia, FL 34266 | 2007-10-02 |
Find all providers in zip 34266 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477112993 | Lucie Remy Thomas | Nurse Practitioner | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2019-06-08 |
1881252435 | Roshni Dasan | Nurse Practitioner | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2019-05-30 |
1518442169 | Elizabeth Forbes | Nurse Practitioner | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2018-09-29 |
1245414747 | Maria Catherine Geraci | Nurse Practitioner | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2007-12-20 |
1154419877 | Cynthia Ann Schackman | Nurse Practitioner | 725 N 12th Ave, Arcadia, FL 34266-8752 | 2006-10-10 |
1205856978 | Michael M Speisman | Nurse Practitioner | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2006-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295336832 | Marco Desouza | Nurse Practitioner | 10235 Avelar Ridge Dr, Riverview, FL 33578-7560 | 2020-11-02 |
1457950107 | Janet Rosemarie Walker | Nurse Practitioner | 9988 Sw 38th Ave, Ocala, FL 34476-4082 | 2020-10-23 |
1104425800 | Vijayalakshmi Kumaraguru | Nurse Practitioner | 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 | 2020-10-22 |
1356940217 | Smitha Ajesh | Nurse Practitioner | 9833 Westview Dr Apt 829, Coral Springs, FL 33076-2537 | 2020-10-21 |
1457959066 | Kecia Hicks | Nurse Practitioner | 691 Institution Rd, Defuniak Springs, FL 32433-1850 | 2020-10-15 |
1699372003 | Rosie Michel | Nurse Practitioner | 13000 Ne 12th Ave, North Miami, FL 33161-4305 | 2020-10-08 |
1952908352 | Karen Weinstock | Nurse Practitioner | 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 | 2020-10-08 |
1396342754 | Pamela Ziel | Nurse Practitioner | 545 Lakeside Cir, Sunrise, FL 33326-2136 | 2020-10-07 |
1922615608 | Urszula Dorfman | Nurse Practitioner | 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 | 2020-09-28 |
1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
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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.