Susan Paulhamus, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9372593 Issued in FL

Practice address

3805 7TH St SW
Lehigh Acres, FL 33976-2228

Phone

(570) 439-9571

NPI assigned

Aug 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1366923328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 7TH ST SW",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339762228",
            "telephone_number": "570-439-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 7TH ST SW",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339762228",
            "telephone_number": "570-439-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULHAMUS",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9372593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL APRN LICENSE",
            "identifier": "APRN9372593",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL RN LICENSE",
            "identifier": "RN9372593",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pratvi Praful Patel, DMD
• Vandana Patel, PA-C
• Patricia a Gregg, M.D., P.L.
• Misty Patterson, NURSE
• Michael Paul
• Yanely Paz Gutierrez
• Peak Performance Chiropractic
• Brittany Taylor Peck, D.C.
• Jeffrey Michael Peck, D.C.
• Erik Shane Pecore, PT ATC

• Family Nurse Practitioner in Lehigh Acres, FL
• Providers in Lehigh Acres, 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 Aug 16, 2019; 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.

Verify at the official NPI Registry.