Suzelle Gauthier

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

ARNP9329072 Issued in FL

Practice address

8483 Blue Cypress Dr
8483 Blue Cypress Dr
Lake Worth, FL 33467-6244

Phone

(561) 856-8441

NPI assigned

Dec 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Suzelle Gauthier Other name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1073057550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8483 BLUE CYPRESS DR",
            "address_2": "8483 BLUE CYPRESS DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676244",
            "telephone_number": "561-856-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8483 BLUE CYPRESS DR",
            "address_2": "8483 BLUE CYPRESS DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676244",
            "telephone_number": "561-856-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "SUZELLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9329072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZELLE",
            "last_name": "GAUTHIER",
            "prefix": "MS.",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Monica Garcia, LMHC
• Gardens Urgent Care of Lake Worth LLC
• Sueann Garrison, PH.D.
• Gary Tong
• Gaspard'S Home, Inc
• Dianne Gaviria, PSYD
• Rebecca Sue Gay, CD
• Lauren Gaydosh
• GCN Therapies/Genylima/SLP
• Gemini Ambulatory Surgical Center Incorporated

• Primary Care Nurse Practitioner in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.

Verify at the official NPI Registry.