Individual provider Active NPI

Susan Margaret Skoufatos, R.N

  • Home Health Registered Nurse
  • New Port Richey, FL
National Provider Identifier
1437203486
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN2805262 Issued in FL
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
RN2805262FLMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.