SUSAN RENEE KUSTAD APRN
NPI 1871842823
Nurse Practitioner - Pediatrics in Royal Palm Beach, FL

Q: What is Susan Kustad's NPI number?

The NPI number for Susan Kustad is 1871842823. It was assigned to this individual provider in the NPPES registry on September 6, 2012. The provider is also known as Susan Renee Marks.

Q: What is Susan Kustad's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Susan Kustad was last updated on December 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 06, 2012

1015 N STATE ROAD 7 STE D, ROYAL PALM BEACH, FL 33411(561) 798-9417(561) 798-9419 Get Directions Write a Review

NPPES record last updated: December 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2019, Sep 30, 2019 (2 updates tracked since 2019).

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About Susan Renee Kustad Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN RENEE KUSTAD APRN (NPI 1871842823) is an individual pediatrics provider in Royal Palm Beach, Florida, licensed in Florida (APRN9234339) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1871842823

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSUSAN RENEE KUSTADCredential: APRN

Location Address1015 N STATE ROAD 7 STE DRoyal Palm Beach, FL 33411-5185

Mailing Address900 S Pine Island Rd Ste 800Plantation, FL 33324-3923 · (561) 798-9417 · Fax (561) 798-9419

Phone(561) 798-9417

Fax(561) 798-9419

Sole ProprietorNo

Enumeration DateSeptember 6, 2012

Last NPPES UpdateDecember 23, 20192 updates tracked since enumeration

✔ NPI 1871842823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in FL · APRN9234339

1015 N STATE ROAD 7 STE D, Royal Palm Beach, FL 33411

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Other Names 1

Former Name (1)Susan Renee Marks

Other Identifiers 1

Medicaid104866700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Molina Healthcare and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ODINAKACHI O NWANKWO MD

Pediatrics