Individual provider Active NPI

Suzanne Lesta Reiter, MSN, WHNP-BC, FAANP

  • Women's Health Nurse Practitioner
  • Largo, FL
National Provider Identifier
1285629998
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
2972182 Issued in FL
Practice address
8751 Ulmerton Rd
Largo, FL 33771-3832
Phone
(727) 524-4410
Fax
(727) 524-4410
NPI assigned
Sep 19, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704094692 MI
Women's Health Nurse Practitioner 363LW0102X 4704094692 MI
Women's Health Nurse Practitioner 363LW0102X 2972182 FL Primary

Addresses

Primary practice location

8751 Ulmerton Rd
Largo, FL 33771-3832

Mailing address

1480 Gulf Blvd
#806
Clearwater, FL 33767
Phone (616) 745-8463

Other practice location 1

425 Cherry St SE
Grand Rapids, MI 49503-4652
Phone (616) 774-7005

Other identifiers 1

IdentifierTypeStateIssuer
011712700MedicaidFL

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2972182FLMDWomen's Health Nurse Practitioner
4704094692MIMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health 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.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285629998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 GULF BLVD",
            "address_2": "#806",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33767",
            "telephone_number": "616-745-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713832",
            "telephone_number": "727-524-4410",
            "fax_number": "727-524-4410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Cherry St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495034652",
            "country_code": "US",
            "telephone_number": "616-774-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REITER",
        "first_name": "SUZANNE",
        "middle_name": "LESTA",
        "credential": "MSN, WHNP-BC, FAANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704094692",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MI",
            "license": "4704094692",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "2972182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011712700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.