Vera Ellen Suppo, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN05067 Issued in AZ

Practice address

554 S Bellview
Mesa, AZ 85204-2504

Phone

(480) 649-1141

NPI assigned

Mar 23, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Vera Ellen Helm Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1205077112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18615 N CELIS ST",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "852385179",
            "telephone_number": "520-208-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 S BELLVIEW",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852042504",
            "telephone_number": "480-649-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPPO",
        "first_name": "VERA",
        "middle_name": "ELLEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN05067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERA",
            "last_name": "HELM",
            "middle_name": "ELLEN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Superstition Springs Counseling Services of Arizona
• Superstition Springs Endodontics, LLP
• Superstition Wellness Center PLLC
• Supervised Seniors, LLC
• Supervista North America
• Supreme Positive Innovation Services LLC
• Supreme Positive Innovation Services LLC
• Mysore S Suresh, D.D.S
• Pooja Suresh, D.D.S.
• Surestep

• Registered Nurse in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.