Active NPI
Susan Sophia Rouse, DC
- Pediatric Chiropractor
- Land O Lakes, FL
National Provider Identifier
1164314852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Chiropractor
- License
- 15569
- Practice address
- 3757 Parkway Blvd
Land O Lakes, FL 34639-4225 - Phone
- (813) 220-4158
- NPI assigned
- Jul 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 15569 | FL | |
| Pediatric Chiropractor | 111NP0017X | 15569 | FL | Primary |
Addresses
Primary practice location
3757 Parkway Blvd
Land O Lakes, FL 34639-4225
Mailing address
3757 Parkway Blvd
Land O Lakes, FL 34639-4225
Phone (813) 220-4158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15569 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1164314852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3757 PARKWAY BLVD",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346394225",
"telephone_number": "813-220-4158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3757 PARKWAY BLVD",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346394225",
"telephone_number": "813-220-4158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSE",
"first_name": "SUSAN",
"middle_name": "SOPHIA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-17",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "15569",
"primary": false
},
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "FL",
"license": "15569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Land O Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.