Suzanne Marie Gromniak, N P

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11002278 Issued in FL

Practice address

4701 S Flamingo Rd
Cooper City, FL 33330-2312

Phone

(954) 434-3160

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Suzanne Marie Hills Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1336192525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333286102",
            "telephone_number": "954-377-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 S FLAMINGO RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333302312",
            "telephone_number": "954-434-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROMNIAK",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "credential": "N P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NY",
            "license": "320008",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01777751",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "HILLS",
            "middle_name": "MARIE",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nancy Carol Gonzalez, ARNP
• Aaron Goodstein, RN
• Jason Thad Granger, D.C.
• Heather Nicole Green, MS-SLP
• Roberta Greenberg, MS CCC SLP
• Diana Elizabeth Gross, DPT
• Gustavo a Batista MD PA
• Ha Behavior Services LLC
• Yvonne Haase, LMHC
• Stephanie Marie Haidar

• Family Nurse Practitioner in Cooper City, FL
• Providers in Cooper City, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.