Active NPI
Landie Sufralien
- Family Nurse Practitioner
- Crawfordville, FL
National Provider Identifier
1417880840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F06260354
- Practice address
- 110 Melaleuca Dr
Crawfordville, FL 32327-4963 - Phone
- (850) 410-1895
- NPI assigned
- Jun 5, 2026
- Last updated
- Jun 5, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F06260354 | FL | Primary |
Addresses
Primary practice location
110 Melaleuca Dr
Crawfordville, FL 32327-4963
Mailing address
501 S Blair Stone Rd Apt 1621
Tallahassee, FL 32301-3033
Phone (850) 688-5083
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
| License | State | Type | Specialty |
|---|---|---|---|
| F06260354 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1417880840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S BLAIR STONE RD APT 1621",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323013033",
"telephone_number": "850-688-5083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 MELALEUCA DR",
"city": "CRAWFORDVILLE",
"state": "FL",
"postal_code": "323274963",
"telephone_number": "850-410-1895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUFRALIEN",
"first_name": "LANDIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-05",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F06260354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crawfordville, FL
- Sheila Stephens, P.T.
- Suzanne E Sterling, RPH
- Julie Stoff
- Diana V Strickland, L.M.T.
- Libbie Stroud, LPN, IBCLC, CLC
- Shari D Sylvia, RPH
- T&a Lifted Living LLC
- Tallahassee Diagnostic Imaging LTD (Tallahassee Diagnostic Imaging (TDI))
- Tallahassee Memorial Healthcare Inc
- Tallahassee Memorial Healthcare Inc (Physician Partners Wakulla-NR)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.