Active NPI
Susan Wigglesworth Staudinger, NP
- Adult Health Clinical Nurse Specialist
- Winter Haven, FL
National Provider Identifier
1952741910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- ARNP1279382
- Practice address
- 122 W Central Ave
Winter Haven, FL 33880-6313 - Phone
- (863) 299-6562
- NPI assigned
- Jul 4, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | ARNP1279382 | FL | Primary |
Addresses
Primary practice location
122 W Central Ave
Winter Haven, FL 33880-6313
Mailing address
4422 Mahogany Run
Winter Haven, FL 33884-2983
Phone (863) 326-1884
Other names 1
- Susan Leigh Staudinger
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1279382 | FL | MD | Adult Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372896000000",
"number": "1952741910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4422 MAHOGANY RUN",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338842983",
"telephone_number": "863-326-1884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 W CENTRAL AVE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338806313",
"telephone_number": "863-299-6562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAUDINGER",
"first_name": "SUSAN",
"middle_name": "WIGGLESWORTH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-04",
"last_updated": "2013-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "FL",
"license": "ARNP1279382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "STAUDINGER",
"middle_name": "LEIGH",
"credential": "NP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.