Active NPI
Suzanne Gay Lavallee, A.R.N.P.
- Nurse Practitioner
- Clearwater, FL
National Provider Identifier
1245289719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP1654542
- Practice address
- 22089 US Highway 19 N
Clearwater, FL 33765-2364 - Phone
- (727) 287-2784
- Fax
- (727) 669-9260
- NPI assigned
- May 10, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP1654542 | FL | Primary |
Addresses
Primary practice location
22089 US Highway 19 N
Clearwater, FL 33765-2364
Mailing address
910 SE 12TH Ter
Deerfield Beach, FL 33441-5883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y7789 | Other | FL | BCBS |
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 |
|---|---|---|---|
| Breathe Easy Pulmonary Services Inc | Nurse Practitioner | Past | Accepting new patients |
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.
-
dba Clinicare Diagnostic Medical Services
- Nurse Practitioner
- Clearwater, FL
- NPI 1386606010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245289719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 SE 12TH TER",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334415883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22089 US HIGHWAY 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337652364",
"telephone_number": "727-287-2784",
"fax_number": "727-669-9260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVALLEE",
"first_name": "SUZANNE",
"middle_name": "GAY",
"credential": "A.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP1654542",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y7789",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.