Organization Active NPI

Sublimity Care, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wimauma, FL
National Provider Identifier
1164051041
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SUBLIMITY CARE, LLC
Practice address
14615 Crescent Rock Dr
Wimauma, FL 33598-6186
Phone
(813) 898-3536
NPI assigned
Apr 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
Ingrid M Suazo, MSN, PMHNP-BC
Title
Owner
Phone
(813) 898-3536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

14615 Crescent Rock Dr
Wimauma, FL 33598-6186

Mailing address

14615 Crescent Rock Dr
Wimauma, FL 33598-6186
Phone (813) 898-3536

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1164051041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14615 CRESCENT ROCK DR",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335986186",
            "telephone_number": "813-898-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14615 CRESCENT ROCK DR",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335986186",
            "telephone_number": "813-898-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBLIMITY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "SUAZO",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-898-3536",
        "authorized_official_credential": "MSN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wimauma, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.