TONYA LYNN SUCCIO (NPI# 1902314479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902314479 |
| Entity Type | Individual |
| Full Name | TONYA LYNN SUCCIO |
| Other Name | TONYA LYNN SUCCIO KNOX |
| Credential | APRN |
| Practice Address |
4450 W Eau Gallie Blvd Ste 250 Melbourne FL 32934-7215 |
| Mailing Address |
959 Colonial Ave Se Palm Bay FL 32909-4806 |
| Practice Telephone | 3217516671 |
| Mailing Telephone | 3215447606 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2019-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9203788 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2100 N Wickham Rd, Melbourne, FL 329358110 | 3217527100 |
| Street Address |
4450 W EAU GALLIE BLVD STE 250 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32934-7215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932380318 | Jacquelyn Peters | Nurse Practitioner | 4450 W Eau Gallie Blvd Ste 250, Melbourne, FL 32934-7215 | 2007-11-14 |
| 1720616196 | Whitney Stidham | Nurse Practitioner | 4450 W Eau Gallie Blvd Ste 250, Melbourne, FL 32934-7215 | 2020-03-31 |
| 1548766769 | Barbara Buzzo | Nurse Practitioner | 4450 W Eau Gallie Blvd Ste 250, Melbourne, FL 32934-7215 | 2018-04-05 |
| 1780123661 | Ulvika Patel | Nurse Practitioner | 4450 W Eau Gallie Blvd Ste 250, Melbourne, FL 32934-7215 | 2017-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530419 | Ryan Thomas Kammerdener | Pharmacist | 3003 Bay Wind Ct, Melbourne, FL 32934 | 2020-05-20 |
| 1558833731 | Deborah J Gaffney | Specialist/Technologist | 3060 Kershaw Court, Melbourne, FL 32934 | 2018-12-27 |
| 1548703200 | Damaris Escarment | Counselor | 3550 W. Eau Gallie Blvd, Melbourne, FL 32934 | 2016-11-29 |
| 1447686324 | Sarai Escarment | Counselor | 3550 W Eau Gallie Blvd, Melbourne, FL 32934 | 2013-09-23 |
| 1871874974 | Felipe E. Dominguez, Md, Pa | Clinical Medical Laboratory | 3030 Venture Lane, Ste 108, Melbourne, FL 32934 | 2011-09-01 |
| 1376821637 | Christine Natasha Williams Kelly | Counselor | 4450 West Eau Gallie Blvd, Suite 200, Melbourne, FL 32934 | 2011-08-03 |
| 1912203316 | Sheryl Yatsko | Physical Therapy Assistant | 3303 Sarno Rd, Melbourne, FL 32934 | 2011-02-01 |
| 1255564191 | Joy Cheryl Mullen | Occupational Therapy Assistant | 1890 Whispering Oaks Cir, West Melbourne, FL 32934 | 2009-08-26 |
| 1619031531 | The Devereux Foundation | Case Management | 1591 Robert J Conlan Boulevard, Palm Bay, FL 32934 | 2006-12-22 |
| 1457456600 | Jo A Kologlu | Physical Therapist | 5025 Smithfield Rd, Melbourne, FL 32934 | 2006-09-13 |
| Find all providers in zip 32934 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285231985 | Kristy Mccoy Sharpe | Nurse Practitioner | 2032 Buescher Hill St, Melbourne, FL 32935-2170 | 2020-10-06 |
| 1326658840 | Deniece Santana | Nurse Practitioner | Health First Medical Group, LLC, 1223 Gateway Dr, Melbourne, FL 32901-2607 | 2020-08-10 |
| 1891313334 | Kellie L Herrington | Nurse Practitioner | 1600 Sarno Rd Ste E, Melbourne, FL 32935-4938 | 2020-07-10 |
| 1871118455 | Denise M Marburger | Nurse Practitioner | 567 Trend Rd, Melbourne, FL 32904-7429 | 2020-06-10 |
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1932670510 | Susan Lynn Beattie | Nurse Practitioner | 4766 White Heron Dr, Melbourne, FL 32934-3293 | 2018-12-08 |
| 1831678994 | Joyce Colson | Nurse Practitioner | 8055 Spyglass Hill Rd Ste 102, Melbourne, FL 32940-8564 | 2018-08-09 |
| 1104336577 | Peak Performance Medical | Nurse Practitioner | 3800 W Eau Gallie Blvd Ste 101, Melbourne, FL 32934-3285 | 2017-10-11 |
| 1154849065 | Baxter Regional Health System | Nurse Practitioner | 1019 East Main Street, Melbourne, AR 72556 | 2017-08-31 |
| 1134676836 | Rachael Howard | Nurse Practitioner | 5545 N Wickham Rd Ste 104, Melbourne, FL 32940-7323 | 2016-09-09 |
| Find all providers in MELBOURNE | ||||
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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.