Active NPI
Suzanne Nicole Suprenant, M.D.
- Neonatal-Perinatal Medicine Physician
- Asheville, NC
National Provider Identifier
1023304235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 2017-00844
- Practice address
- 509 Biltmore Ave
Asheville, NC 28801-4601 - Phone
- (828) 213-1111
- NPI assigned
- Jun 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 2017-00844 | NC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 173473 | NC |
Addresses
Primary practice location
509 Biltmore Ave
Asheville, NC 28801-4601
Mailing address
11 Vanderbilt Park Dr
Asheville, NC 28803-1700
Phone (828) 213-1740
Other practice location 1
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170808001666 | NC | Practitioner - Pediatric Medicine | 2961773031 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173473 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Hospitals Inc | Current | Accepting new patients |
Locations
50 Schenck Pkwy
Asheville, NC 28803
Phone (828) 526-4346
Interoperability endpoints
- ssuprenant481361@direct-ehr-ssmhc.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mission Psychiatric Services
- Psychiatric Hospital Unit
- Asheville, NC
- NPI 1962452482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1023304235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 VANDERBILT PARK DR",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288031700",
"telephone_number": "828-213-1740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 BILTMORE AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288014601",
"telephone_number": "828-213-1111"
}
],
"practiceLocations": [
{
"address_1": "Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271570001",
"country_code": "US",
"telephone_number": "336-716-2011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUPRENANT",
"first_name": "SUZANNE",
"middle_name": "NICOLE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "NC",
"license": "2017-00844",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "173473",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
- Sunrise Community for Recovery and Wellness
- Superior Healthcare Physical Medicine & Rehab, PC
- Support Not Solution, PLLC
- Support Solutions of the Midsouth LLC
- Support Staff, Inc.
- Alyssa Noelle Surabian, M.S.
- Susanne Ascher Walker Wilson (Susanne Walker Wilson)
- Kalpesh N Sutaria, M.D.
- Leena Sutaria, M.D.
- Jennifer A Sutherlin, LCMHC; LCAS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.