Individual provider Active NPI

Abbey Sutton

  • Contractor
  • De Soto, MO
National Provider Identifier
1205427192
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Practice address
1221 Cedar Valley Dr Apt E
De Soto, MO 63020-1282
Phone
(636) 215-1577
NPI assigned
Feb 2, 2021
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X NU Primary

Addresses

Primary practice location

1221 Cedar Valley Dr Apt E
De Soto, MO 63020-1282

Mailing address

1221 Cedar Valley Dr Apt F
De Soto, MO 63020-1282
Phone (636) 208-6790

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Alexislootz@gmail.com Health Information Exchange (HIE) Patrick Leutzinger

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1205427192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 CEDAR VALLEY DR APT F",
            "city": "DE SOTO",
            "state": "MO",
            "postal_code": "630201282",
            "telephone_number": "636-208-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 CEDAR VALLEY DR APT E",
            "city": "DE SOTO",
            "state": "MO",
            "postal_code": "630201282",
            "telephone_number": "636-215-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "ABBEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Alexislootz@gmail.com",
            "affiliation": "Y",
            "affiliationName": "Patrick Leutzinger",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1221 Cedar Valley Dr Apt F",
            "city": "DE Soto",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630201282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in De Soto, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.