Individual provider Active NPI

Melissa Hope Suttell, APRN

  • Family Nurse Practitioner
  • Greer, SC
National Provider Identifier
1104174747
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17823 Issued in SC
Practice address
206A S Main St
Greer, SC 29650-2127
Phone
(864) 989-0230
Fax
(864) 334-1880
NPI assigned
Aug 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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 17823 SC Primary

Addresses

Primary practice location

206A S Main St
Greer, SC 29650-2127

Mailing address

206A S Main St
Greer, SC 29650-2127
Phone (864) 989-0230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17823SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Keith Stafford, M.D. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1104174747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206A S MAIN ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296502127",
            "telephone_number": "864-989-0230",
            "fax_number": "864-334-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206A S MAIN ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296502127",
            "telephone_number": "864-989-0230",
            "fax_number": "864-334-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTELL",
        "first_name": "MELISSA",
        "middle_name": "HOPE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "17823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.