Individual provider Active NPI

Jennifer Alexandra Chirinos Suarez, SA-C

  • Surgical Assistant
  • Greenville, SC
National Provider Identifier
1164065454
Registry record updated Oct 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
19-423 Issued in SC
Practice address
300 Pelham Rd Apt 62
Greenville, SC 29615-3138
Phone
(864) 275-1013
NPI assigned
Oct 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 19-423 SC Primary

Addresses

Primary practice location

300 Pelham Rd Apt 62
Greenville, SC 29615-3138

Mailing address

300 Pelham Rd Apt 62
Greenville, SC 29615-3138
Phone (864) 275-1013

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
19-423SCMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1571529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571529600000",
    "number": "1164065454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PELHAM RD APT 62",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153138",
            "telephone_number": "864-275-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PELHAM RD APT 62",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153138",
            "telephone_number": "864-275-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRINOS SUAREZ",
        "first_name": "JENNIFER",
        "middle_name": "ALEXANDRA",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-20",
        "last_updated": "2019-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "SC",
            "license": "19-423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2019; 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.