Active NPI
Angela Suits
- Licensed Vocational Nurse
- Shelton, WA
National Provider Identifier
1144824533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- LP00048382
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LP00048382 | WA | MD | Licensed 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.