Susan R Moffitt, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP2079262 Issued in FL

Practice address

3450 Lakeland Hills Blvd
Lakeland, FL 33805-1946

Phone

(863) 682-0027

NPI assigned

May 30, 2006

Last updated

Jul 10, 2023By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chapters Health Palliative Care, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Temple Terrace, FL
  • NPI 1073683553
  NPD (past)
• Good Shepherd Hospice, Inc.

  dba Good Shepherd Hospice

  • Community Based Hospice Care Agency
  • Lakeland, FL
  • NPI 1235283151
  NPD (past)
• Good Shepherd Hospice, Inc.

  dba Chapters Health Hospice

  • Community Based Hospice Care Agency
  • Marathon, FL
  • NPI 1720691017
  NPD (past)
• Lifepath Hospice and Palliative Care Inc

  dba Good Shepherd Hospice

  • Community Based Hospice Care Agency
  • Temple Terrace, FL
  • NPI 1235120197
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1881641207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12470 TELECOM DR STE 300W",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338051946",
            "telephone_number": "863-682-0027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12470 Telecom Dr Ste 300W",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336370904",
            "country_code": "US",
            "telephone_number": "813-871-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "SUSAN",
        "middle_name": "R",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2079262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE",
            "identifier": "ARNP2079262",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheril L Mobley
• Lindsey Rebecca Moder, AU.D
• Jessica Kay Moe, CNM
• Lisa Moehring, LMT
• Moes Family Practice and Kids LLC
• Tony L. Moffitt, NP
• Farid Moghadasi, DMD
• Orlando Mogollon, SA-C
• Alaa Mohamed, MD
• Ridhwan Mohammad, MD

• Nurse Practitioner in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.