J Suzanne McKibben, RN, CWON

Primary specialty

Ostomy Care Registered NurseTaxonomy code 163WX1500X

License

9277872 Issued in FL

Practice address

6732 67TH Way N
Pinellas Park, FL 33781-5049

Phone

(727) 248-9219

NPI assigned

Oct 24, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540598400000",
    "number": "1649523804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6732 67TH WAY N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815049",
            "telephone_number": "727-248-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6732 67TH WAY N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815049",
            "telephone_number": "727-248-9219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13945 Evergreen Ave",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337624525",
            "country_code": "US",
            "telephone_number": "727-289-0062",
            "fax_number": "727-289-0063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKIBBEN",
        "first_name": "J",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "RN, CWON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-24",
        "last_updated": "2018-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "FL",
            "license": "RN9277872",
            "primary": false
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "FL",
            "license": "9277872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Hope McGlothlin
• Julie E McGuire, ARNP
• Whitney Jellise McGuire, DOCTOR OF PHARMACY
• Krista McIntosh
• Heather McKee, LCSW
• Alexander McLean, BCBA
• Samuel Matthew McLuckie, PT, DPT
• Charles McMillan, OTR/L
• Raymond McNeil, BA
• Gayle D McNeill, L.M.H.C

• Registered Nurse in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2018; 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.