SUSAN J GIBBS (NPI# 1639572373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639572373 |
| Entity Type | Individual |
| Full Name | SUSAN J GIBBS |
| Credential | ARNP |
| Practice Address |
13417 Us Highway 301 Ste B Dade City FL 33525-5446 |
| Mailing Address |
38135 Market Sq Zephyrhills FL 33542-7505 |
| Practice Telephone | 3525213967 |
| Practice Fax Number | 8133555028 |
| Mailing Telephone | 8135284975 |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2016-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9303680 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RR MEDICARE | P01624167 | 01 |
| FL | BC/BS FLORIDA BLUE | UAZQS | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164903373 | Susan Gibbs | Pharmacist | 27322 Carronade Dr, Perrysburg, OH 43551-3368 | 2018-08-25 |
| 1356883573 | Susan Gibbs | Counselor | 1930 Marlton Pike E, Suite M-68, Cherry Hill, NJ 08003-2150 | 2016-11-07 |
| 1134426109 | Susan Gibbs | Counselor | 92 Vine St, New Britain, CT 06052-1433 | 2011-02-27 |
| 1093859464 | Susan Gibbs | Occupational Therapist | 55 Lake Ave N, Occupational Therapy, Worcester, MA 01655-0002 | 2007-02-17 |
| Street Address |
13417 US HIGHWAY 301 STE B |
| City | DADE CITY |
| State | FL |
| Zip Code | 33525-5446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669417143 | Mazen A Abboud | Podiatrist | 13417 Us Highway 301, Suite B, Dade City, FL 33525-5446 | 2006-06-18 |
| 1659614162 | Joseph Michael Genualdi Jr. | Podiatrist | 13417 Us Highway 301, Suite B, Dade City, FL 33525-5446 | 2013-04-03 |
| 1740522754 | Florida Medical Clinic LLC | Clinic/Center | 13417 Us Highway 301, Suite B, Dade City, FL 33525-5446 | 2013-03-18 |
| 1326310780 | Felicia Seal | Social Worker | 13417 Us Highway 301, Dade City, FL 33525-5446 | 2012-02-01 |
| 1457689275 | Danielle Williamson | Nurse Practitioner | 13417 Us Highway 301, Suite D, Dade City, FL 33525-5446 | 2009-12-07 |
| 1790949113 | Camille Nancy Anise | Family Medicine | 13417 Us Highway 301, Dade City, FL 33525-5446 | 2008-07-15 |
| 1447417076 | Joan E Heitzler | Nurse Practitioner | 13417 Us Highway 301, Ste. A, Dade City, FL 33525-5446 | 2008-05-21 |
| 1669639183 | Bay Area Neurology Consultants Pl | Psychiatry & Neurology | 13417 Us Highway 301, Dade City, FL 33525-5446 | 2008-05-21 |
| 1326215641 | Church Street Medical Center | Internal Medicine | 13417 Us Highway 301, Dade City, FL 33525-5446 | 2008-05-15 |
| 1548375876 | Anthony Esposito | Family Medicine | 13417 Us Highway 301, Dade City, FL 33525-5446 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735772 | Medical Risk Solutions | Family Medicine | 38503 Centennial Road, Dade City, FL 33525 | 2018-10-03 |
| 1629593280 | Kiria Cuevas | Pharmacist | 11830 Us-301, Dade City, FL 33525 | 2017-08-04 |
| 1477005452 | Nancy T Mathew | Nurse Practitioner | 9834 Pine Leaf Lane, Dade City, FL 33525 | 2016-10-26 |
| 1720470933 | Jackalynne Burns | Behavioral Analyst | 11820 Munbury Dr, Dade City, FL 33525 | 2015-02-25 |
| 1497146781 | Bridgett Crews | Case Manager/Care Coordinator | 9315 Handcart Rd., Dade City, FL 33525 | 2015-02-09 |
| 1437457389 | Shannon Clarke Korst | Massage Therapist | 11045 Old Lakeland Hwy, Dade City, FL 33525 | 2011-03-02 |
| 1689907420 | Gladys Borges | Nutritionist | 13941 15th Street, Pchd Wic & Nutrition Services, Dade City, FL 33525 | 2009-09-11 |
| 1730412628 | Veekas Patel | Pharmacist | 12715 Hwy 301, Dade City, FL 33525 | 2009-09-10 |
| 1376765347 | Linda F Elmore | Technician, Other | 12649 Us Hwy 301, Dade City, FL 33525 | 2007-05-02 |
| 1417086190 | Marta M Velasquez | Pharmacist | 12649 Hwy 301, Dade City, FL 33525 | 2007-03-05 |
| Find all providers in zip 33525 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922668276 | Amy Hopkins | Nurse Practitioner | 33501 Prospect Rd, Dade City, FL 33525-8607 | 2019-06-19 |
| 1477005452 | Nancy T Mathew | Nurse Practitioner | 9834 Pine Leaf Lane, Dade City, FL 33525 | 2016-10-26 |
| 1053547695 | Terri Lynn Jones | Nurse Practitioner | 12880 Us Highway 301, Dade City, FL 33525-5801 | 2009-06-10 |
| 1679137541 | Tiffany Smiley | Nurse Practitioner | 13438 Fort King Rd, Dade City, FL 33525-5214 | 2019-04-26 |
| 1093252058 | Shauna M Deschamps | Nurse Practitioner | 13540 17th St, Dade City, FL 33525-5244 | 2017-01-27 |
| 1467802892 | Mark Christopher Roque | Nurse Practitioner | 13933 17th St, Suite 101, Dade City, FL 33525-4604 | 2016-06-16 |
| 1235251398 | Jennifer Lynn Cowherd | Nurse Practitioner | 37944 Church Ave, Dade City, FL 33525 | 2007-04-06 |
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|---|---|---|---|---|
| 1710588413 | Arnol Miguel Chacon Chacon | Nurse Practitioner | 1001 Rich Dr, Palm Springs, FL 33406-6508 | 2020-11-08 |
| 1427659192 | Monica Teresita Vengoechea Leon | Nurse Practitioner | 68 Se 6th St Apt 4104, Miami, FL 33131-3519 | 2020-11-08 |
| 1740881416 | Donald Douglass Jamieson | Nurse Practitioner | 17929 Hunting Bow Cir # Na, Lutz, FL 33558-5378 | 2020-11-08 |
| 1609477348 | Danielle Schmidt | Nurse Practitioner | 7803 34th Ct E, Sarasota, FL 34243-2867 | 2020-11-07 |
| 1083215735 | Ahecio Alexander Labrada Izquierdo | Nurse Practitioner | 624 Sw 132nd Ter, Davie, FL 33325-3242 | 2020-11-07 |
| 1114528874 | Wandering Michelle, LLC | Nurse Practitioner | 526 Wekiva Bluff St, Apopka, FL 32712-2776 | 2020-11-07 |
| 1508467325 | Digna Maria Espinosa | Nurse Practitioner | 13655 Sw 2nd St, Miami, FL 33184-1049 | 2020-11-06 |
| 1265033005 | Lourdes Milagros Rivera | Nurse Practitioner | 4512 Raintree Ridge Rd, Orlando, FL 32837-5133 | 2020-11-06 |
| 1023619913 | Ana Maria Guerra Garcia | Nurse Practitioner | 802 Windsor Cir, Brandon, FL 33510-2927 | 2020-11-05 |
| 1891396818 | Gilberto Fernandez Sr. | Nurse Practitioner | 8021 Nw 166th St, Miami Lakes, FL 33016-3421 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.