Individual provider Active NPI

Susan Ann Allgeyer, AP

  • Holistic Clinical Nurse Specialist
  • Indian Harbour Beach, FL
National Provider Identifier
1932716701
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Holistic Clinical Nurse SpecialistTaxonomy code 364SH1100X
License
3298 Issued in FL
Practice address
1300 Pinetree Dr Ste 9
Indian Harbour Beach, FL 32937-4429
Phone
(321) 960-6959
NPI assigned
Sep 25, 2020
Last updated
Sep 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Holistic Clinical Nurse Specialist 364SH1100X 3298 FL Primary

Addresses

Primary practice location

1300 Pinetree Dr Ste 9
Indian Harbour Beach, FL 32937-4429

Mailing address

1300 Pinetree Dr Ste 9
Indian Harbour Beach, FL 32937-4429
Phone (321) 960-6959

Other identifiers 1

IdentifierTypeStateIssuer
64OtherFLN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL harbouracu@gmail.com Direct

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

LicenseStateTypeSpecialty
3298FLMDHolistic Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1932716701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 PINETREE DR STE 9",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374429",
            "telephone_number": "321-960-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PINETREE DR STE 9",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374429",
            "telephone_number": "321-960-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLGEYER",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "credential": "AP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH1100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Holistic",
            "state": "FL",
            "license": "3298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "64",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "harbouracu@gmail.com",
            "affiliation": "N",
            "endpointDescription": "other",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1300 Pinetree Dr Ste 9",
            "city": "Indian Harbour Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329374429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indian Harbour Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.