Active NPI
Susan L Catto, ARNP
- Adult Health Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN9170424
- Practice address
- 2 Shircliff Way
Ste 800
Jacksonville, FL 32204-4732 - Phone
- (904) 388-2619
- Fax
- (904) 388-0240
- NPI assigned
- Oct 6, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN9170424 | FL | Primary |
Addresses
Primary practice location
2 Shircliff Way
Ste 800
Jacksonville, FL 32204-4732
Mailing address
7015 Ac Skinner Parkway
Suite 1
Jacksonville, FL 32256
Phone (904) 363-2113
Other practice location 1
5742 Booth Rd Ste A
Jacksonville, FL 32207-5982
Phone (904) 739-7779
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305830100 | Medicaid | FL | |
| U1523V | Other | FL | MEDICARE |
| Y035F | Other | FL | BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9170424 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer Specialists, LLC | Current | Accepting new patients | |
| Cancer Specialists, LLC | Current | Accepting new patients |
Locations
2370 Market Dr
Fleming Island, FL 32003
Phone (904) 264-6201
5742 Booth Rd
Ste A
Jacksonville, FL 32207
Phone (904) 739-7779
2 Shircliff Way
Ste 800
Jacksonville, FL 32204
Phone (904) 388-2619
Organizations & group practices 2
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.
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-
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- NPI 1851656607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1063409886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7015 AC SKINNER PARKWAY",
"address_2": "SUITE 1",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32256",
"telephone_number": "904-363-2113",
"fax_number": "904-538-3672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SHIRCLIFF WAY",
"address_2": "STE 800",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044732",
"telephone_number": "904-388-2619",
"fax_number": "904-388-0240"
}
],
"practiceLocations": [
{
"address_1": "5742 Booth Rd Ste A",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322075982",
"country_code": "US",
"telephone_number": "904-739-7779",
"fax_number": "904-739-7771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CATTO",
"first_name": "SUSAN",
"middle_name": "L",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-06",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN9170424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305830100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "U1523V",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "Y035F",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.