Susan Fulton Haines, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP 9220722 Issued in FL

Practice address

1186 Highway A1A
Satellite Beach, FL 32937-2479

Phone

(321) 779-3370

Fax

(321) 622-8616

NPI assigned

Feb 27, 2012

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 Fulton Haines Former name

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

Credentials

Nurse Practitioner

State licenses

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.

• Medical Technology Transfer Corporation

  • Primary Care Clinic/Center
  • Melbourne, FL
  • NPI 1104947217
  Medicare reassignment NPD
• Medical Technology Transfer Corporation

  • Radiology Clinic/Center
  • Melbourne, FL
  • NPI 1215017710
  NPD
• Medical Technology Transfer Corporation

  • Primary Care Clinic/Center
  • Palm Bay, FL
  • NPI 1295044824
  NPD

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1992079701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 HIGHWAY A1A",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372479",
            "telephone_number": "321-779-3370",
            "fax_number": "321-622-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 HIGHWAY A1A",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372479",
            "telephone_number": "321-779-3370",
            "fax_number": "321-622-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "SUSAN",
        "middle_name": "FULTON",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-27",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9220722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HAINES",
            "middle_name": "FULTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Isabella Rae Giltner, MT-BC
• Matthew Thomas Giuliano
• Patricia A Goode, ARNP
• Elizabeth Sarah Grillo, OTR/L
• Sweta Gunnell, DMD
• Mary Eva Hall, L.M.
• Kristy Hamilton, PHD, MPAS, PA-C
• Melissa Jean Hamilton, MA, CCC SLP
• Shantel Hanna
• Happy Enchilada LLC

• Family Nurse Practitioner in Satellite Beach, FL
• Providers in Satellite Beach, 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 Aug 1, 2016; 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.