Individual provider Active NPI

Tara Suarez, FNP

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1528474988
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9340061 Issued in FL
Practice address
4761 S Cleveland Ave Ste 4
Fort Myers, FL 33907-1375
Phone
(239) 343-6100
Fax
(239) 343-9727
NPI assigned
Jul 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X APRN9340061 FL
Family Nurse Practitioner 363LF0000X APRN9340061 FL Primary

Addresses

Primary practice location

4761 S Cleveland Ave Ste 4
Fort Myers, FL 33907-1375

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-6100

Other practice location 1

704 W Dr Martin Luther King Jr Blvd
Seffner, FL 33584-4534
Phone (813) 681-4431

Other practice location 2

101 Harris Industrial Blvd
Ste C
Vidalia, GA 30474-8852
Phone (912) 537-1014

Other practice location 3

5357 Ehrlich Rd
Tampa, FL 33625-5505
Phone (813) 968-4003

Other practice location 4

770 Northpoint Pkwy Ste 200
West Palm Beach, FL 33407
Phone (561) 655-3331

Other identifiers 1

IdentifierTypeStateIssuer
130348400MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tsuarez709118@Direct.leememorial.org Direct LEE HEALTH SYSTEM INC

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
I20170926002884 FL Practitioner - Nurse Practitioner 2466734033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

4761 S Cleveland Ave
Suite 4
Fort Myers, FL 33907-1375
Phone (239) 343-9734

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9340061FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FWC Urogynecology, LLC CurrentSince Apr 1, 2019 Accepting new patients
Complete Womens Healthcare LLC Current Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

11161 Health Park Blvd
Naples, FL 34110
Phone (239) 234-2620

770 Northpoint Pkwy
Ste 102
West Palm Beach, FL 33407
Phone (561) 275-7604

770 Northpoint Pkwy
Ste 200
West Palm Beach, FL 33407
Phone (561) 555-3331

Interoperability endpoints

  • Direct secure messaging: tsuarez709118@direct.leememorial.org
  • Direct secure messaging: tara.suarez@vwc.gadirect.net
  • Direct secure messaging: tarasuarez@completewc.allscriptsdirect.net

Organizations & group practices 3

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 1

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": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1528474988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-6100",
            "fax_number": "239-343-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4761 S CLEVELAND AVE STE 4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071375",
            "telephone_number": "239-343-6100",
            "fax_number": "239-343-9727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 W Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Seffner",
            "state": "FL",
            "postal_code": "335844534",
            "country_code": "US",
            "telephone_number": "813-681-4431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Harris Industrial Blvd",
            "address_2": "Ste C",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304748852",
            "country_code": "US",
            "telephone_number": "912-537-1014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5357 Ehrlich Rd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336255505",
            "country_code": "US",
            "telephone_number": "813-968-4003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "770 Northpoint Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "33407",
            "country_code": "US",
            "telephone_number": "561-655-3331",
            "fax_number": "561-655-3744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "TARA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "APRN9340061",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9340061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130348400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tsuarez709118@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "LEE HEALTH SYSTEM INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.