Individual provider Active NPI

Susannah M Bultron

  • Home Health Agency
  • Tampa, FL
National Provider Identifier
1245867597
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
1663 Williambrg SQ
1663 Williambrg SQ
Tampa, FL 33611
Phone
(813) 390-4879
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X FL Primary

Addresses

Primary practice location

1663 Williambrg SQ
1663 Williambrg SQ
Tampa, FL 33611

Mailing address

1663 Williambrg SQ
Tampa, FL 33611
Phone (813) 390-4879

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SUSANNAH@HIHFL.COM Health Information Exchange (HIE)

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

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1245867597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 WILLIAMBRG SQ",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33611",
            "telephone_number": "813-390-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 WILLIAMBRG SQ",
            "address_2": "1663 WILLIAMBRG SQ",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33611",
            "telephone_number": "813-390-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULTRON",
        "first_name": "SUSANNAH",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SUSANNAH@HIHFL.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1663 WILLIAMBRG SQ",
            "address_2": "1663 WILLIAMBRG SQ",
            "city": "LAKELAND",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.