Susan Lynn Caulfeild-James, ARNP
Individual provider Active NPI Nurse Practitioner · Pace, FL
NPI 1508964040 · NPPES record last updated Apr 1, 2014
Key facts
- NPI
- 1508964040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- ARNP3180942 (FL)
- Practice address
- 5565 Woodbine Rd
Pace, FL 32571-8768 - Phone
- (850) 994-5010
- Fax
- (850) 994-0272
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP3180942 | FL | Yes |
Addresses
Primary practice location
5565 Woodbine Rd
Pace, FL 32571-8768
Mailing address
1822 Donegal Dr
Cantonment, FL 32533-6800
Phone (850) 937-8474
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306625800 | Medicaid | FL |
Other providers in Pace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.