Active NPI
Susana Fortes, ARNP
- Family Nurse Practitioner
- Gainesville, FL
National Provider Identifier
1235367582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9256913
- Practice address
- 6900 NW 9TH Blvd
Gainesville, FL 32605-4251 - Phone
- (352) 333-6680
- Fax
- (352) 331-4006
- NPI assigned
- Jun 25, 2009
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9256913 | FL | Primary |
Addresses
Primary practice location
6900 NW 9TH Blvd
Gainesville, FL 32605-4251
Mailing address
6900 NW 9TH Blvd
Gainesville, FL 32605-4251
Phone (352) 333-6100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00761345 | Other | FL | RAILROAD MEDICARE |
| 001394800 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gainesville Physicians LLC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Gainesville, FL
- NPI 1992946461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262131200000",
"number": "1235367582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 NW 9TH BLVD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054251",
"telephone_number": "352-333-6100",
"fax_number": "352-331-4006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 NW 9TH BLVD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054251",
"telephone_number": "352-333-6680",
"fax_number": "352-331-4006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTES",
"first_name": "SUSANA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-25",
"last_updated": "2009-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9256913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00761345",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001394800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.