Hannah Suttles

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

305 Park Ave
Ironton, OH 45638-1525

Phone

(740) 550-4991

NPI assigned

Aug 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1073287124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 PARK AVE",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381525",
            "telephone_number": "740-550-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 PARK AVE",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381525",
            "telephone_number": "740-550-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTLES",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0378240",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ironton",
            "affiliation": "Y",
            "endpointDescription": "ironton",
            "affiliationName": "Southern Hope Recovery Center LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Ironton",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Ironton",
            "address_1": "305 Park Ave",
            "city": "Ironton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456381525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Virginia Mamie-Mae Sullivan
• Erika Dawn Summers
• Trista Nichole Summers
• Sanoop Sunny, RPH
• Abigail Jane Sutphin
• Kathryn L Sutton, D.D.S
• Tasha Sutton, CDCA
• Megan Leigh-Ann Swaim, CDCA
• Nina Danielle Swartzmiller, CDCA
• Allan Szabo

• All providers in Ironton, OH
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.