Individual provider Active NPI

Susan Thomas, DNP

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1497409965
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11015320 Issued in FL
Practice address
6195 SW 192ND Ave
Fort Lauderdale, FL 33332-3378
Phone
(954) 599-9576
NPI assigned
Feb 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11015320 FL Primary

Addresses

Primary practice location

6195 SW 192ND Ave
Fort Lauderdale, FL 33332-3378

Mailing address

6195 SW 192ND Ave
Fort Lauderdale, FL 33332-3378
Phone (954) 599-9576

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220502002443 FL Practitioner - Nurse Practitioner 0840687349 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians
Miami Jewish Health Systems IncGroup PAC ID 6507856614, 20 clinicians

Practice addresses (Care Compare)

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 265-5339

5200 NE 2ND Ave
Miami, FL 33137-2706
Phone (305) 762-1387

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11015320FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp, Inc. CurrentSince Jun 1, 2025 Accepting new patients
South Broward Hospital District CurrentSince Mar 15, 2026 Accepting new patients
South Broward Hospital District CurrentSince Mar 15, 2026 Accepting new patients
Miami Jewish Health Systems, Inc. CurrentSince Mar 15, 2022 Accepting new patients
Sheridan Healthcorp Inc Current Accepting new patients
Sheridan Healthcorp Inc CurrentSince Jun 1, 2025 Accepting new patients

Locations

3501 Johnson St
Fl 1
Hollywood, FL 33021
Phone (954) 265-7750

5200 NE 2nd Ave
Miami, FL 33137
Phone (305) 762-1387

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1497409965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6195 SW 192ND AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333323378",
            "telephone_number": "954-599-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6195 SW 192ND AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333323378",
            "telephone_number": "954-599-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.