Susan Renee Gormley, CNS

Primary specialty

Pain Management Registered NurseTaxonomy code 163WP0000X

License

APRN11019452 Issued in FL

Practice address

1300 Miccosukee Rd
Tallahassee, FL 32308-5054

Phone

(850) 431-9396

NPI assigned

Jun 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1083345169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BUCKINGHAM DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085212",
            "telephone_number": "808-393-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085054",
            "telephone_number": "850-431-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMLEY",
        "first_name": "SUSAN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "FL",
            "license": "APRN11019452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaniqua Rasheda Gordon, MRC
• Whitney Gordon
• Basak Gorgec
• Bridget Gorman
• Thomas Edward Gorman Jr., MS, LAT, ATC
• Barbara Gorski, APRN, FNP-BC
• Evelyn Roberts Goslin, PH.D.
• Tina Leah Gotreaux, OTR/L
• Nicholas Govsyeyev, MD
• Grabarek Rehabilitation LLC

• Registered Nurse in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.