Susan V Klima, A.R.N.P.

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

ARNP 627972 Issued in FL

Practice address

1680 Eagle Harbor Pkwy
Suite a
Orange Park, FL 32003-4806

Phone

(904) 264-9555

Fax

(904) 215-7960

NPI assigned

Jul 16, 2006

Last updated

Jul 22, 2008By 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

Other names 1

• Susan V. Canipelli Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1538186416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16568",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322456568",
            "telephone_number": "904-472-2300",
            "fax_number": "904-472-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 EAGLE HARBOR PKWY",
            "address_2": "SUITE A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320034806",
            "telephone_number": "904-264-9555",
            "fax_number": "904-215-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMA",
        "first_name": "SUSAN",
        "middle_name": "V",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP 627972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308515500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "CANIPELLI",
            "middle_name": "V.",
            "credential": "A.R.N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leigh Kirchner, M.A.,CCC-SLP
• Carrie A Kissinger, LMT
• Sarah Watson Kitchen
• Mary Catherine Kivett
• Betty Derrick Klement, DMD
• Linda Sue Knapp, HAS
• Michael Brian Knapp, HAS, BC-HIS, ACA
• Kaden Joseph Chaix Knecht, MD
• Garfield S Knight, PTA
• Kylie Knight

• Obstetrics & Gynecology Nurse Practitioner in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Obstetrics & Gynecology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.