Active NPI
Susan Neal, ARNP
- Nurse Practitioner
- Leesburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP1063272
- Practice address
- 550 E Dixie Ave
Leesburg, FL 34748-5925 - Phone
- (352) 323-2273
- NPI assigned
- Oct 8, 2012
- Last updated
- Sep 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP1063272 | FL | Primary |
Addresses
Primary practice location
550 E Dixie Ave
Leesburg, FL 34748-5925
Mailing address
600 E Dixie Ave
Attn: Edna Peart, Reimbursement
Leesburg, FL 34748-5925
Phone (352) 323-4267
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ARNP1063272 | Other | FL | NURSE PRACTITIONER LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citrus Cardiology Consultants, PLLC | Current | Accepting new patients | |
| Citrus Cardiology Consultants, PLLC | Current | Accepting new patients | |
| Reddymed LLC | Past | Accepting new patients | |
| Mid-Florida Gastroenterology Group P a | Past | Accepting new patients |
Locations
308 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-8353
600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090
801 E Dixie Ave
Ste 107
Leesburg, FL 34748
Phone (352) 315-0627
1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000
910 Old Camp Rd
Ste 210
The Villages, FL 32162
Phone (352) 530-2256
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EHGIAD
Organizations & group practices 4
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.
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- Inverness, FL
- NPI 1669405379
-
- Cardiac Rehabilitation Clinic/Center
- Lecanto, FL
- NPI 1851241913
-
- Specialist
- Sanford, FL
- NPI 1841474103
-
- Specialist
- Leesburg, FL
- NPI 1821393836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474588800000",
"number": "1467704031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 E DIXIE AVE",
"address_2": "ATTN: EDNA PEART, REIMBURSEMENT",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347485925",
"telephone_number": "352-323-4267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 E DIXIE AVE",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347485925",
"telephone_number": "352-323-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "SUSAN",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-08",
"last_updated": "2016-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP1063272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER LICENSE",
"identifier": "ARNP1063272",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, FL
- National Vision Inc (America's Best Contacts & Eyeglasses)
- National Vision, Inc. (EyeGlass World)
- Pedro Enrique Navarro, REGISTERED NURSE
- Rebekah Michelle Nayee, APRN
- Ncrnc Inc. (North Campus Rehabilitation and Nursing Center)
- Brian Tanner Nelson, HIS
- Celia K Nelson, MD, FACS
- Mackenzie Rae Ness
- Felicia Nester, RBT
- New Beginnings Health and Wellness Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.