MS. J SUZANNE MCKIBBEN (NPI# 1649523804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649523804 |
| Entity Type | Individual |
| Full Name | MS. J SUZANNE MCKIBBEN |
| Credential | RN, CWON |
| Practice Address |
6732 67th Way N Pinellas Park FL 33781-5049 |
| Practice Telephone | 7272489219 |
| Mailing Telephone | 7272489219 |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2018-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
RN9277872 | FL | Nursing Service Providers |
| Y | 163WX1500X |
Registered Nurse Specialization: Ostomy Care |
9277872 | FL | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13945 Evergreen Ave, Clearwater, FL 337624525 | 7272890062 | 7272890063 |
| Street Address |
6732 67TH WAY N |
| City | PINELLAS PARK |
| State | FL |
| Zip Code | 33781-5049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554134 | Tanthia Chanel Delgado | Social Worker | Sequel Care of Florida, 3491 Gandy Blvd, Pinellas Park, FL 33781 | 2020-06-26 |
| 1932722139 | Sunrise Retirement Home LLC | Assisted Living Facility | 4201 70th Ave North, Pinellas Park, FL 33781 | 2020-05-21 |
| 1790319119 | Third Phase Medical, LLC Dba Physical Therapy Now, Pinellas Park | Physical Medicine & Rehabilitation | 6661 49th Street North, Pinellas Park, FL 33781 | 2020-02-25 |
| 1275166621 | Michael Palon | Chiropractor | 6615 49th St N, Pinellas Park, FL 33781 | 2020-02-13 |
| 1679080790 | Hyde Psychological Services LLC | Psychologist | 8130 66th St. N, Suite 10, Pinellas Park, FL 33781 | 2018-01-10 |
| 1184135964 | Susan Nmi Washam | Counselor | 3491 Gandy Blvd, Suite 201, Pinelias Park, FL 33781 | 2017-10-19 |
| 1194131730 | Ivan Samcam | Emergency Medicine | 6640 78th Ave N Ste A, Pinellas Park, FL 33781 | 2014-07-03 |
| 1306278809 | Select Medical Products | Durable Medical Equipment & Medical Supplies | 6531 47th Street North, Pinellas Park, FL 33781 | 2013-08-07 |
| 1639515133 | Kabrena Michelle Williams | Behavioral Analyst | 5030 78th Ave N Ste 11, Pinellas Park, FL 33781 | 2013-05-11 |
| 1649614975 | Dennis Alexander Tenenboym | Podiatrist | 7800 66th St N Ste 207, Pinellas Park, FL 33781 | 2013-04-17 |
| Find all providers in zip 33781 | ||||
| Taxonomy Code | 163WX1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ostomy Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346406220 | Rmc Consultants, Inc | Registered Nurse | 5749 Nw 101st Way, Coral Springs, FL 33076-2591 | 2008-07-31 |
| 1023474616 | Roslyn M Cipriano | Registered Nurse | 5749 Nw 101st Way, Coral Springs, FL 33076-2591 | 2016-01-12 |
| City | PINELLAS PARK |
| Zip Code | 33781 |
Please comment or provide details below to improve the information on MS. J SUZANNE MCKIBBEN.
| 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.