Susan Schickley, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP3055442 Issued in FL

Practice address

11479 Cortez Blvd
Brooksville, FL 34613-7367

Phone

(352) 597-3511

Fax

(352) 592-1155

NPI assigned

Dec 9, 2014

Last updated

Jan 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1497153316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14690 SPRING HILL DR",
            "address_2": "SUITE 101",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346098102",
            "telephone_number": "352-799-0046",
            "fax_number": "352-799-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11479 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346137367",
            "telephone_number": "352-597-3511",
            "fax_number": "352-592-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHICKLEY",
        "first_name": "SUSAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3055442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014081200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sameera Sayyad
• Anthony Scardino, PHARMD
• Judith Elise Schaffter-Chaudhry, ARNP
• Doreen Ann Schaub, RPH
• Laura G Schermann, BA
• Roy J Schleman, D.C.
• Christian Schneider, D.C.
• Michael Albert Schneider, PTA
• Robert Schrock, RPH
• Tina Marie Schroeder

• Nurse Practitioner in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.