Susan Woollen Eldridge, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

11024569 Issued in FL

Practice address

2550 Jenks Ave
Panama City, FL 32405-4310

Phone

(850) 522-1522

Fax

(850) 522-5925

NPI assigned

Dec 15, 2011

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 names 1

• Mrs. Susan Woollen Figueroa Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Ringgold Pediatric Clinic, P.C.

  • Pediatrics Physician
  • Ringgold, GA
  • NPI 1366400533
  NPD (past)
• University Children'S Conscious Sedation Specialists, LLC

  • Pediatric Anesthesiology Physician
  • Louisville, KY
  • NPI 1508992512

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1598034886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054310",
            "telephone_number": "850-522-1522",
            "fax_number": "850-522-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054310",
            "telephone_number": "850-522-1522",
            "fax_number": "850-522-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "SUSAN",
        "middle_name": "WOOLLEN",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11024569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "FIGUEROA",
            "middle_name": "WOOLLEN",
            "prefix": "MRS.",
            "credential": "PNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Athena Marie Eiriksson, LPN
• Rhianna Elysia Eisert, LPN
• Rezeq F El Bataineh, M.D.
• Omar Mahmoud El-Sheikh, MD, MSC, FRCS
• Mohamed Eldokmak, MD
• Elite Chiropractic & Wellness of Bay County Inc
• Elizabeth B. Haiman, LCSW, Corp
• Cassandra McGuire Ellington, CRNA
• Brian Ellis
• Janice Ellis, ISW

• Pediatric Nurse Practitioner in Panama City, FL
• Providers in Panama City, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.