Individual provider Active NPI

Salma Gozusulu, ARNP, FNP, NP

  • Clinical Informatics Physician
  • Palm Beach, FL
National Provider Identifier
1013530195
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Informatics PhysicianTaxonomy code 2083C0008X
License
2083C0008X Issued in FL
Practice address
208 Brazilian Ave
Palm Beach, FL 33480-4621
Phone
(561) 955-0739
NPI assigned
May 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9999991 FL
Adult Medicine Physician 207QA0505X 9999999 FL
Primary Care Nurse Practitioner 363LP2300X 363LP2300X FL
Clinical Informatics Physician 2083C0008X 2083C0008X FL Primary

Addresses

Primary practice location

208 Brazilian Ave
Palm Beach, FL 33480-4621

Mailing address

PO Box 332
Palm Beach, FL 33480-0332
Phone (561) 955-0739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9999991FLMDFamily Medicine Physician
2083C0008XFLMDClinical Informatics Physician
363LP2300XFLMDPrimary Care Nurse Practitioner
9999999FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Health and Wellness CurrentSince May 24, 2020 Accepting new patients

Locations

208 Brazilian Ave
Palm Beach, FL 33480
Phone (561) 955-0739

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1013530195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334800332",
            "telephone_number": "561-955-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BRAZILIAN AVE",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804621",
            "telephone_number": "561-955-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOZUSULU",
        "first_name": "SALMA",
        "name_prefix": "Dr.",
        "credential": "ARNP, FNP, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "9999991",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "9999999",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "363LP2300X",
            "primary": false
        },
        {
            "code": "2083C0008X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": "FL",
            "license": "2083C0008X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.