Active NPI
Angela M Surace, DNP APRN
- Clinical Nurse Specialist
- Columbus, OH
National Provider Identifier
1023824760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 04028
- Practice address
- 836 Stinson CT
Columbus, OH 43214-2950 - Phone
- (614) 203-7775
- NPI assigned
- Dec 7, 2024
- 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 |
|---|---|---|---|---|
| School Nurse Practitioner | 363LS0200X | 03960 | OH | |
| Clinical Nurse Specialist | 364S00000X | 04028 | OH | Primary |
Addresses
Primary practice location
836 Stinson CT
Columbus, OH 43214-2950
Mailing address
836 Stinson CT
Columbus, OH 43214-2950
Phone (614) 203-7775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03960 | OH | MD | School Nurse Practitioner |
| 04028 | OH | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733529600000",
"number": "1023824760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 STINSON CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432142950",
"telephone_number": "614-203-7775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 STINSON CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432142950",
"telephone_number": "614-203-7775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURACE",
"first_name": "ANGELA",
"middle_name": "M",
"credential": "DNP APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-07",
"last_updated": "2024-12-07",
"certification_date": "2024-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LS0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, School",
"state": "OH",
"license": "03960",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "OH",
"license": "04028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.