Active NPI
Suzanne Schaake Lagrandeur, MSW
- Social Worker
- Truckee, CA
National Provider Identifier
1154547008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10655
- Practice address
- 10121 Pine Ave
Truckee, CA 96161-4835 - Phone
- (530) 582-3268
- NPI assigned
- Apr 18, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 10655 | CA | Primary |
Addresses
Primary practice location
10121 Pine Ave
Truckee, CA 96161-4835
Mailing address
PO Box 2685
Olympic Valley, CA 96146-2685
Phone (530) 582-4816
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 |
|---|---|---|---|
| 10655 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154547008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2685",
"city": "OLYMPIC VALLEY",
"state": "CA",
"postal_code": "961462685",
"telephone_number": "530-582-4816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10121 PINE AVE",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961614835",
"telephone_number": "530-582-3268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGRANDEUR",
"first_name": "SUZANNE",
"middle_name": "SCHAAKE",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "10655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Truckee, CA
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.