Individual provider Active NPI

Alma Surratt, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Millsboro, DE
National Provider Identifier
1619109725
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0000135 Issued in DE
Practice address
32711 Long Neck Rd
Millsboro, DE 19966
Phone
(302) 542-1710
NPI assigned
Aug 23, 2009
Last updated
May 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0000135 DE Primary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X LE-0000172 DE

Addresses

Primary practice location

32711 Long Neck Rd
Millsboro, DE 19966

Mailing address

32711 Long Neck Rd
Millsboro, DE 19966-6678
Phone (302) 542-1710

Other identifiers 1

IdentifierTypeStateIssuer
L8-0000135OtherDEPSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20100701000032 DE Practitioner - Certified Clinical Nurse Specialist (CNS) 0840321154 Reassigns benefits to 1 organization
Practice locations: Millsboro, DE

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8-0000135DEMDPsychiatric/Mental Health Nurse Practitioner
LE-0000172DEMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Anew Mental Health CurrentSince Feb 10, 2015 Accepting new patients
Clear Minds Past Accepting new patients
Alma Surratt Pmhnp, CNS-BC Psychiatric/Mental Health PastSince Feb 19, 2018 Accepting new patients
David Kalkstein MD PC Past Accepting new patients

Locations

1001 S Bradford St
Ste 7
Dover, DE 19904
Phone (302) 264-9436

819 S Governors Ave
Dover, DE 19904
Phone (302) 678-4558

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1250985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1619109725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32711 LONG NECK RD",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199666678",
            "telephone_number": "302-542-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32711 LONG NECK RD",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "19966",
            "telephone_number": "302-542-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURRATT",
        "first_name": "ALMA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-23",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0000135",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "DE",
            "license": "LE-0000172",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER",
            "identifier": "L8-0000135",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

Verify at the official NPI Registry.