Active NPI
Susan M Dewitt, ARNP-C
- Family Nurse Practitioner
- Orange Park, FL
National Provider Identifier
1467422717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP1259822
- Practice address
- 1895 Kingsley Avenue
Suite 303
Orange Park, FL 32073-4466 - Phone
- (904) 272-6161
- NPI assigned
- Jan 26, 2006
- Last updated
- Feb 8, 2017
- 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 | ARNP1259822 | FL | Primary |
Addresses
Primary practice location
1895 Kingsley Avenue
Suite 303
Orange Park, FL 32073-4466
Mailing address
1895 Kingsley Ave
Suite 303
Orange Park, FL 32073-4466
Phone (904) 272-6161
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James D. Baker III, M.D., PA | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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 Nephrology Associates Of Northeast Florida
- Nephrology Physician
- Jacksonville, FL
- NPI 1437182896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1467422717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1895 KINGSLEY AVE",
"address_2": "SUITE 303",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734466",
"telephone_number": "904-272-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1895 KINGSLEY AVENUE",
"address_2": "SUITE 303",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734466",
"telephone_number": "904-272-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWITT",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "ARNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP1259822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.