Active NPI
Joseph Ronald Sura
- School Psychologist
- Big Pine Key, FL
National Provider Identifier
1154934826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 154 Cunningham LN
Big Pine Key, FL 33043-4837 - Phone
- (231) 557-5861
- NPI assigned
- Aug 24, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
154 Cunningham LN
Big Pine Key, FL 33043-4837
Mailing address
154 Cunningham LN
Big Pine Key, FL 33043-4837
Phone (231) 557-5861
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1154934826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 CUNNINGHAM LN",
"city": "BIG PINE KEY",
"state": "FL",
"postal_code": "330434837",
"telephone_number": "231-557-5861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 CUNNINGHAM LN",
"city": "BIG PINE KEY",
"state": "FL",
"postal_code": "330434837",
"telephone_number": "231-557-5861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURA",
"first_name": "JOSEPH",
"middle_name": "RONALD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-24",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Big Pine Key, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.