Suzi L Metzger

Key facts

NPI

1114334349

Entity type

Individual (NPI type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor 101YA0400X

Practice address

3019 Tennessee Ave
Blockton, IA 50836-8028

Phone

(712) 621-8553

NPI assigned

Jul 21, 2014

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

Other names

• Suzi L Driver Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2014.

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1114334349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 TENNESSEE AVE",
            "city": "BLOCKTON",
            "state": "IA",
            "postal_code": "508368028",
            "telephone_number": "712-621-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 TENNESSEE AVE",
            "city": "BLOCKTON",
            "state": "IA",
            "postal_code": "508368028",
            "telephone_number": "712-621-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZGER",
        "first_name": "SUZI",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZI",
            "last_name": "DRIVER",
            "middle_name": "L",
            "credential": "BS IADC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Blockton, IA

• Town of Blockton

All providers in Blockton, IA · Addiction (Substance Use Disorder) Counselor in Iowa