Active NPI
Susan Kay Block, N.P.
- Women's Health Nurse Practitioner
- Fort Walton Beach, FL
National Provider Identifier
1346200417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- APRN9245884
- Practice address
- 320 Racetrack Rd NW Ste 100a
Fort Walton Beach, FL 32547-1796 - Phone
- (850) 315-8360
- NPI assigned
- Mar 24, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 102510 | CO | |
| Women's Health Nurse Practitioner | 363LW0102X | APRN9245884 | FL | Primary |
Addresses
Primary practice location
320 Racetrack Rd NW Ste 100a
Fort Walton Beach, FL 32547-1796
Mailing address
320 Racetrack Rd NW Ste 100a
Fort Walton Beach, FL 32547-1796
Phone (850) 315-8360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1094 | AK | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchorage Women'S Clinic, LLC | Past | Accepting new patients | |
| Obhg Alaska, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Anchorage, AK
- NPI 1265496061
-
- Obstetrics & Gynecology Physician
- Anchorage, AK
- NPI 1740697069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1346200417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 RACETRACK RD NW STE 100A",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325471796",
"telephone_number": "850-315-8360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 RACETRACK RD NW STE 100A",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325471796",
"telephone_number": "850-315-8360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCK",
"first_name": "SUSAN",
"middle_name": "KAY",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CO",
"license": "102510",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "FL",
"license": "APRN9245884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.