Individual provider Active NPI

Angela Suits

  • Licensed Vocational Nurse
  • Shelton, WA
National Provider Identifier
1144824533
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
LP00048382 Issued in WA
Practice address
307 W Cota St
Shelton, WA 98584-2265
Phone
(360) 470-0651
NPI assigned
Nov 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X LP00048382 WA Primary

Addresses

Primary practice location

307 W Cota St
Shelton, WA 98584-2265

Mailing address

7700 NE 72ND Ave Apt F104
Vancouver, WA 98661-1666
Phone (360) 470-0651

Other practice location 1

307 W Cota St
Shelton, WA 98584-2265
Phone (360) 205-8010

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asuits64@hotmail.com

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

State licenses

LicenseStateTypeSpecialty
LP00048382WAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1144824533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 NE 72ND AVE APT F104",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986611666",
            "telephone_number": "360-470-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W COTA ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985842265",
            "telephone_number": "360-470-0651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 W Cota St",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "WA",
            "postal_code": "985842265",
            "country_code": "US",
            "telephone_number": "360-205-8010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUITS",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "WA",
            "license": "LP00048382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asuits64@hotmail.com",
            "affiliation": "N",
            "address_1": "307 W Cota St",
            "city": "Shelton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985842265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.