SUSAN BERARDINO (NPI# 1902061948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902061948 |
| Entity Type | Individual |
| Full Name | SUSAN BERARDINO |
| Credential | RN |
| Practice Address |
13000 Bruce B Downs Blvd Tampa FL 33612-4745 |
| Practice Telephone | 8139722000 |
| Mailing Telephone | 8139722000 |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0100X |
Registered Nurse Specialization: Gastroenterology |
RN1096702 | FL | Nursing Service Providers |
| Street Address |
13000 BRUCE B DOWNS BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-4745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707244 | Shirly S Moonjeli | Family Medicine | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2005-06-01 |
| 1568063238 | Katelyn Panawash | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-11-08 |
| 1477154813 | Angela Andersen | Speech-Language Pathologist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-11-03 |
| 1730780339 | Tamara Pasquel | Recreation Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-11-02 |
| 1306445135 | James Mark Kaplan | Recreation Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-10-22 |
| 1063011203 | Marina Lynn Leander | Recreation Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-10-20 |
| 1881201580 | Brent Gibson | Student in an Organized Health Care Education/Training Program | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-09-26 |
| 1033725106 | Brighid M Rebolledo | Occupational Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-09-23 |
| 1447863345 | Emmanuella Armand | Nurse Practitioner | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-08-28 |
| 1982217238 | Julia Marie Lopez | Psychologist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 163WG0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Gastroenterology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194719500 | Rosemary Perkins Ashby | Registered Nurse | 13000 Bruce B Downs Blvd, 111b, Tampa, FL 33612-4745 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821577313 | Janet Mason | Registered Nurse | 857 Brookfield Pl, Apopka, FL 32712-4860 | 2018-08-07 |
| 1386147338 | Rose Charles | Registered Nurse | 701 Ne 153rd St, Miami, FL 33162-5230 | 2018-03-15 |
| 1104231570 | Lawrence Green | Registered Nurse | 6509 Nw 105th Ave, Alachua, FL 32615-7448 | 2014-06-24 |
| 1730727199 | Andrew Hinckley | Registered Nurse | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2019-12-17 |
| 1659922680 | Fibronostics Us, Inc. | Registered Nurse | 3452 Lake Lynda Dr, Orlando, FL 32817-1430 | 2019-09-20 |
| 1942705330 | Fanny Polydoroff | Registered Nurse | 1201 N.w. 16th Street, Miami, FL 33125 | 2018-03-27 |
| 1811363609 | Brandi Parker | Registered Nurse | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2015-08-14 |
| 1265739866 | Judy Marie Shirley | Registered Nurse | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2011-02-16 |
| 1164687141 | Barbara Ann Bonham | Registered Nurse | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2008-07-18 |
| 1033319736 | Jennifer G Robinette | Registered Nurse | 2407 Ruth Hentz Ave, Panama City, FL 32405-2259 | 2007-07-20 |
| 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.