Active NPI
Susan Haizelden, ARNP
- Neonatal Nurse Practitioner
- Ormond Beach, FL
National Provider Identifier
1659592095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 2594642
- Practice address
- 875 Sterthaus Ave
Birth Care Center
Ormond Beach, FL 32174-5131 - Phone
- (386) 676-6262
- Fax
- (386) 615-9774
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 2594642 | FL | Primary |
Addresses
Primary practice location
875 Sterthaus Ave
Birth Care Center
Ormond Beach, FL 32174-5131
Mailing address
875 Sterthaus Ave
Birth Care Center
Ormond Beach, FL 32174-5131
Phone (386) 676-6262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2594642 | FL | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659592095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 STERTHAUS AVE",
"address_2": "BIRTH CARE CENTER",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745131",
"telephone_number": "386-676-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 STERTHAUS AVE",
"address_2": "BIRTH CARE CENTER",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745131",
"telephone_number": "386-676-6262",
"fax_number": "386-615-9774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIZELDEN",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "FL",
"license": "2594642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ormond Beach, FL
- Sheila R Gupta
- GV-Ormond, LLC (Grand Villa of Ormond Beach)
- Gwen Kotler LCSW
- Amy N Hackett, RPH
- Noha Hafez, PHARMD
- Carol Ann Halal, LMHC
- Halifax Health Services LLC (AccentCare Home Health of Daytona)
- Halifax Health Services, LLC. (AccentCare Home Health of Daytona)
- Halifax Spine Center
- Victoria Chante Hall
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.