Active NPI
Susan Yvette Dunbar, WHNP-BC
- Women's Health Nurse Practitioner
- Tallahassee, FL
National Provider Identifier
1154689347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN1465832
- Practice address
- 438 W Brevard St
Tallahassee, FL 32301-1004 - Phone
- (850) 224-2469
- Fax
- (850) 224-1139
- NPI assigned
- Apr 25, 2012
- Last updated
- Apr 5, 2017
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN1465832 | FL | Primary |
Addresses
Primary practice location
438 W Brevard St
Tallahassee, FL 32301-1004
Mailing address
438 W Brevard St
Tallahassee, FL 32301-1004
Phone (850) 224-2469
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 |
|---|---|---|---|
| RN1465832 | FL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Medical Center, Inc | Current | Accepting new patients | |
| Neighborhood Medical Center, Inc | Current | Accepting new patients |
Locations
604 E 5th Ave
Havana, FL 32333
Phone (850) 224-2469
438 W Brevard St
Tallahassee, FL 32301
Phone (850) 224-2469
Interoperability endpoints
- https://api.platform.athenahealth.com/15524/brand/3/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Tallahassee, FL
- NPI 1487869467
-
dba Neighborhood Medical Center
- Federally Qualified Health Center (FQHC)
- Tallahassee, FL
- NPI 1174239784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491350400000",
"number": "1154689347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 W BREVARD ST",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323011004",
"telephone_number": "850-224-2469",
"fax_number": "850-224-1139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 W BREVARD ST",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323011004",
"telephone_number": "850-224-2469",
"fax_number": "850-224-1139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNBAR",
"first_name": "SUSAN",
"middle_name": "YVETTE",
"name_prefix": "Ms.",
"credential": "WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-25",
"last_updated": "2017-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "FL",
"license": "RN1465832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.