Susan Elizabeth Oconnor, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP745872 Issued in FL

Practice address

1250 S 18TH St
Suite 202
Fernandina Beach, FL 32034-1902

Phone

(904) 277-4690

Fax

(904) 277-8487

NPI assigned

Jun 23, 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 names 1

• Susan Elizabeth Brandt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Southern Heart Group

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1962484220
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1861428682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S 18TH ST",
            "address_2": "SUITE 202",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341902",
            "telephone_number": "904-277-4690",
            "fax_number": "904-277-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S 18TH ST",
            "address_2": "SUITE 202",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341902",
            "telephone_number": "904-277-4690",
            "fax_number": "904-277-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP745872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BRANDT",
            "middle_name": "ELIZABETH",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Windom O'Donnell, APRN, CNM, WHNP-BC
• Mary O'Donnell, LMHC
• Cheryl Smith O'Donoghue, FNP-BC
• Kirsten O'Neil, MD
• William O'Sullivan
• Joanna Oestmann, EDD
• Larry M Ogilvie, LMT
• Justin Oglesby, ATC, LAT
• Ryan David Ohl, D.C.
• Mark Robert Olbina, DDS

• Adult Health Nurse Practitioner in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.