Individual provider Active NPI

Suzanne Marie Blute, RN, BSN

  • Community Psychiatric/Mental Health Clinical Nurse Specialist
  • Columbus, OH
National Provider Identifier
1104990456
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0812X
License
RN 187884 Issued in OH
Practice address
4897 Karl Rd
Columbus, OH 43229-5147
Phone
(614) 846-2588
Fax
(614) 846-9759
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Psychiatric/Mental Health Clinical Nurse Specialist 364SP0812X RN 187884 OH Primary

Addresses

Primary practice location

4897 Karl Rd
Columbus, OH 43229-5147

Mailing address

1495 Morse Rd Ste B3
Columbus, OH 43229-6434
Phone (614) 267-7003

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 187884OHMDCommunity Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
North Community Counseling Centers Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/northcommunity/r4/

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104990456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 MORSE RD STE B3",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296434",
            "telephone_number": "614-267-7003",
            "fax_number": "614-267-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4897 KARL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295147",
            "telephone_number": "614-846-2588",
            "fax_number": "614-846-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUTE",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0812X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": "OH",
            "license": "RN 187884",
            "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 Jul 8, 2007; 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.