Active NPI
Susan Marie Neal, R.D.H.
- Dental Hygienist
- Wewahitchka, FL
National Provider Identifier
1447223573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH 18292
- Practice address
- 232 East Lake Avenue
Wewahitchka, FL 32465 - Phone
- (850) 639-4414
- Fax
- (850) 639-5934
- NPI assigned
- Feb 9, 2006
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH 18292 | FL | Primary |
Addresses
Primary practice location
232 East Lake Avenue
Wewahitchka, FL 32465
Mailing address
10279 NW Gray Rd
Clarksville, FL 32430-2115
Phone (850) 674-1719
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 |
|---|---|---|---|
| DH 18292 | FL | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | 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.
-
dba Levy County Health Department
- Public Health or Welfare Agency
- Bronson, FL
- NPI 1154395390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447223573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10279 NW GRAY RD",
"city": "CLARKSVILLE",
"state": "FL",
"postal_code": "324302115",
"telephone_number": "850-674-1719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 EAST LAKE AVENUE",
"city": "WEWAHITCHKA",
"state": "FL",
"postal_code": "32465",
"telephone_number": "850-639-4414",
"fax_number": "850-639-5934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "R.D.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "FL",
"license": "DH 18292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wewahitchka, FL
- Melissa's Kneaded Touch, LLC
- Michael E. Barnes, MD
- Amy Leeann Miller, APRN
- Beth Sheffield Molter, P.A.-C
- James Mark Moseley
- North Florida Medical Centers Inc (Wewahitchka Medical Center)
- Pancare of Florida, Inc
- Pharmacy Investment Coordinators Inc (Buy Rite Drugs)
- Pharmacy Investment Coordinators Inc (Buy Rite Drugs #11 LTC)
- Pharmacy Investment Coordinators, Inc (buy rite drugs # 11)
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.