Individual provider Active NPI

Alyssa Suggs

  • Family Nurse Practitioner
  • Key West, FL
National Provider Identifier
1194372912
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11004040 Issued in FL
Practice address
1100 Simonton St
Key West, FL 33040-3110
Phone
(305) 293-7500
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11004040 FL Primary

Addresses

Primary practice location

1100 Simonton St
Key West, FL 33040-3110

Mailing address

5900 College Rd
Key West, FL 33040-4342

Other practice location 1

5900 College Rd
Key West, FL 33040-4342
Phone (305) 294-5531

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200622000480 FL Practitioner - Nurse Practitioner 8325460330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Department of HealthGroup PAC ID 3072424282, 126 clinicians

Practice addresses (Care Compare)

1100 Simonton St
Key West, FL 33040-3110
Phone (305) 293-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11004040FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Mar 1, 2020 Accepting new patients
Florida Department of Health CurrentSince Mar 1, 2020 Accepting new patients
Md4Er LLC CurrentSince Jun 1, 2020 Accepting new patients
Florida Department of Health Past Accepting new patients

Locations

1100 Simonton St
Key West, FL 33040
Phone (305) 293-1549

5900 W Junior College Rd
Key West, FL 33040
Phone (305) 294-5531

3333 Overseas Hwy
Marathon, FL 33050
Phone (305) 289-2718

50 High Point Rd
Tavernier, FL 33070
Phone (305) 293-7500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1194372912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 COLLEGE RD",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SIMONTON ST",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403110",
            "telephone_number": "305-293-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 College Rd",
            "address_purpose": "LOCATION",
            "city": "Key West",
            "state": "FL",
            "postal_code": "330404342",
            "country_code": "US",
            "telephone_number": "305-294-5531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUGGS",
        "first_name": "ALYSSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

Verify at the official NPI Registry.