Individual provider Active NPI

Sonya Suttle, NP

  • Family Nurse Practitioner
  • Collettsville, NC
National Provider Identifier
1083112288
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5010202 Issued in NC
Practice address
4330 Collettsville Rd
Collettsville, NC 28611-9000
Phone
(828) 754-2409
Fax
(828) 754-2418
NPI assigned
Jan 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5010202 NC Primary

Addresses

Primary practice location

4330 Collettsville Rd
Collettsville, NC 28611-9000

Mailing address

PO Box 9
Collettsville, NC 28611-0009
Phone (828) 754-2409

Other identifiers 1

IdentifierTypeStateIssuer
5010202OtherNCNCBON/MEDICAL BOARD

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180301001835 NC Practitioner - Nurse Practitioner 5294096509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hart Family Practice PAGroup PAC ID 0547215451, 3 clinicians

Practice addresses (Care Compare)

221 13TH Ave PL NW
Suite 101
Hickory, NC 28601-2596
Phone (828) 322-8484

Hospital & facility affiliations

  • Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116
  • Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hart Family Practice PA CurrentSince Jan 31, 2022 Accepting new patients

Locations

221 13th Avenue Pl NW
Ste 101
Hickory, NC 28601
Phone (828) 322-8484

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1083112288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "COLLETTSVILLE",
            "state": "NC",
            "postal_code": "286110009",
            "telephone_number": "828-754-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 COLLETTSVILLE RD",
            "city": "COLLETTSVILLE",
            "state": "NC",
            "postal_code": "286119000",
            "telephone_number": "828-754-2409",
            "fax_number": "828-754-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTLE",
        "first_name": "SONYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBON/MEDICAL BOARD",
            "identifier": "5010202",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collettsville, NC

Sources for this page

Verify at the official NPI Registry.