DR. SUSAN LYNN FRICKE-GOLDSMITH MSN FNP-BC NPI 1124061700

NPI Information

NPI: 1124061700
Provider Name: DR. SUSAN LYNN FRICKE-GOLDSMITH, MSN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
102 LAKESHORE DR STE B
SAINT MARYS, GA
ZIP 31558
Phone: (912) 576-7546
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DR. Susan Lynn Fricke-goldsmith, MSN, FNP-BC is a family nurse practitioner in Saint Marys, GA with 23 years of experience. DR. Susan Lynn Fricke-goldsmith, MSN, FNP-BC NPI is 1124061700. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

102 LAKESHORE DR STE B
SAINT MARYS, GA
ZIP 31558-875
Phone: (912) 576-7546
Fax: (912) 576-2348

The NPI 1124061700 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 4/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		RN211812	GEORGIA	No
2	261QP2300X	Clinic/Center	Primary Care	RN211812	GEORGIA	No
3	363LP2300X	Nurse Practitioner	Primary Care	APRN9331191	FLORIDA	No
4	363LP2300X	Nurse Practitioner	Primary Care	RN211812	GEORGIA	No
5	363LF0000X	Nurse Practitioner	Family	RN211812	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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