Individual provider Active NPI

Suzan Margery Weis, ARNP-C

  • Adult Health Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1508100512
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
646612 Issued in FL
Practice address
460 E Altamonte Dr
Suite 2200
Altamonte Springs, FL 32701-4612
Phone
(407) 767-0009
Fax
(407) 767-0022
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 646612 FL Primary

Addresses

Primary practice location

460 E Altamonte Dr
Suite 2200
Altamonte Springs, FL 32701-4612

Mailing address

460 E Altamonte Dr
Suite 2200
Altamonte Springs, FL 32701-4612
Phone (407) 767-0009

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

State licenses

LicenseStateTypeSpecialty
646612FLMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1508100512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 E ALTAMONTE DR",
            "address_2": "SUITE 2200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014612",
            "telephone_number": "407-767-0009",
            "fax_number": "407-767-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 E ALTAMONTE DR",
            "address_2": "SUITE 2200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014612",
            "telephone_number": "407-767-0009",
            "fax_number": "407-767-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIS",
        "first_name": "SUZAN",
        "middle_name": "MARGERY",
        "name_prefix": "Ms.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "646612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.