Active NPI
Suzanne Moree, ARNP-FNP-BC
- Primary Care Nurse Practitioner
- Santa Rosa Beach, FL
National Provider Identifier
1790288694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- APRN9317115
- Practice address
- 10 Bald Eagle Dr
Santa Rosa Beach, FL 32459-8342 - Phone
- (850) 517-0877
- NPI assigned
- Mar 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9317115 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | APRN9317115 | FL | Primary |
Addresses
Primary practice location
10 Bald Eagle Dr
Santa Rosa Beach, FL 32459-8342
Mailing address
10 Bald Eagle Dr
Santa Rosa Beach, FL 32459-8342
Phone (850) 517-0877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9317115 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SWC Health, LLC | Single Specialty | Current | Accepting new patients |
| Turning Point Mobile Medical LLC | Single Specialty | Current | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Defuniak SPGS, FL
- NPI 1760358931
Single Specialty
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Pensacola, FL
- NPI 1306351275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1790288694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BALD EAGLE DR",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324598342",
"telephone_number": "850-517-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BALD EAGLE DR",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324598342",
"telephone_number": "850-517-0877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOREE",
"first_name": "SUZANNE",
"credential": "ARNP-FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-16",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9317115",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN9317115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.