Susan Stuib, ARNP,FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP3359392 Issued in FL

Practice address

3861 Avalon Park East Blvd
Orlando, FL 32828-4853

Phone

(407) 378-5300

Fax

(407) 378-5306

NPI assigned

May 17, 2006

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 identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Travel Doctor PLGroup PAC ID 2567686090, 42 clinicians

The Clinicians, LLCGroup PAC ID 7214154509, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• The Clinicians, LLC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1346669447
  Medicare reassignment Care Compare group NPD
• Travel Doctor, PL

  • Urgent Care Clinic/Center
  • Tampa, FL
  • NPI 1164842225
  Medicare reassignment Care Compare group NPD
• Rural Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Palatka, FL
  • NPI 1871569061
  Medicare reassignment NPD
• Rural Health Care Incorporated

  • Federally Qualified Health Center (FQHC)
  • Interlachen, FL
  • NPI 1477529311
  NPD
• Rural Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Daytona Beach, FL
  • NPI 1891227179
  NPD
• Wittmer Clinic of Chiropratic PA

  • Rehabilitation Chiropractor
  • Winter Park, FL
  • NPI 1902103625
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1811940448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 BRIDGEWAY BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286186",
            "telephone_number": "407-243-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3861 AVALON PARK EAST BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284853",
            "telephone_number": "407-378-5300",
            "fax_number": "407-378-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUIB",
        "first_name": "SUSAN",
        "credential": "ARNP,FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3359392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000467200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenn Stryjewski, MD
• David Stuart, LMHC, MCAP, MBA
• Patricia L Stuart, ARNP
• Constance Stubblefield Lydon
• Alyssa Stuczynski, DC
• Teresa Marleen Stuimer, PT
• Lauren Heather Stull
• Reagan Grace Stultz, CGC
• Amy Lynn Stumpf, PA
• Yanela Rosario Sturla Serret, BCBA

• Family Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.