Wendy Susaeta, RN

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

273350-3102 Issued in UT

Practice address

689 W 6300 S
Murray, UT 84123-6846

Phone

(801) 450-7122

NPI assigned

Aug 22, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Specialized Nursing Service LLC

  • Infusion Therapy Registered Nurse
  • Murray, UT
  • NPI 1326799636
  NPD Authorized official

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629590400000",
    "number": "1023784741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 W 6300 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841236846",
            "telephone_number": "801-450-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 W 6300 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841236846",
            "telephone_number": "801-450-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSAETA",
        "first_name": "WENDY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-22",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "UT",
            "license": "273350-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "http://www.specializednursingservices.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "689 W 6300 S",
            "city": "Murray",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841236846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexandra Elisabeth Sundberg, MD
• Superior Home Care, Inc (Superior Home Care and Hospice)
• Karen Suprunowicz, MD
• Ronnekia Suran
• Surgery Center Anesthesia, LLC
• Tara Suter, MOT, OTR/L
• Larry Rex Swain, LPN
• Aaron P Swalberg, PT
• Katherine Jean Swanson, MD
• Traycie Swartz

• Infusion Therapy Registered Nurse in Murray, UT
• Providers in Murray, UT by specialty
• Infusion Therapy Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.