Active NPI
Susan Margaret Skoufatos, R.N
- Home Health Registered Nurse
- New Port Richey, FL
National Provider Identifier
1437203486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN2805262
- Practice address
- 5623 US Highway 19
Suite 303
New Port Richey, FL 34652-3700 - Phone
- (727) 841-9050
- Fax
- (727) 841-8145
- NPI assigned
- Jan 23, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN2805262 | FL | Primary |
Addresses
Primary practice location
5623 US Highway 19
Suite 303
New Port Richey, FL 34652-3700
Mailing address
10927 Norwood Ave
Port Richey, FL 34668-2524
Phone (727) 863-0991
Other names 1
- Mrs. Susan Margaret Pecard
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2805262 | FL | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etairos Health, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437203486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10927 NORWOOD AVE",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346682524",
"telephone_number": "727-863-0991",
"fax_number": "727-841-8145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5623 US HIGHWAY 19",
"address_2": "SUITE 303",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346523700",
"telephone_number": "727-841-9050",
"fax_number": "727-841-8145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKOUFATOS",
"first_name": "SUSAN",
"middle_name": "MARGARET",
"name_prefix": "Mrs.",
"credential": "R.N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "FL",
"license": "RN2805262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "PECARD",
"middle_name": "MARGARET",
"prefix": "MRS.",
"credential": "R.N.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.