Individual provider Active NPI

Susannah Cole Nendze, LM

  • Midwife
  • Lecanto, FL
National Provider Identifier
1346049145
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW464 Issued in FL
Practice address
582 W Rusk LN
Lecanto, FL 34461-8031
Phone
(352) 697-1583
Fax
(207) 888-0335
NPI assigned
Mar 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW464 FL Primary

Addresses

Primary practice location

582 W Rusk LN
Lecanto, FL 34461-8031

Mailing address

582 W Rusk LN
Lecanto, FL 34461-8031
Phone (352) 697-1583

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

State licenses

LicenseStateTypeSpecialty
MW464FLMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1346049145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 W RUSK LN",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344618031",
            "telephone_number": "352-697-1583",
            "fax_number": "207-888-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 W RUSK LN",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344618031",
            "telephone_number": "352-697-1583",
            "fax_number": "207-888-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NENDZE",
        "first_name": "SUSANNAH",
        "middle_name": "COLE",
        "credential": "LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecanto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.