Suzanna Myalik Stefoglo, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

285165 Issued in NC

Practice address

10734 Monroe Rd Ste 5
Matthews, NC 28105-8397

Phone

(704) 841-0240

NPI assigned

Aug 15, 2019

Last updated

Oct 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael J. Schmitt, DC PA

  • Chiropractor
  • Matthews, NC
  • NPI 1861681249
  NPD

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1245886233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 BLAZING STAR LN",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108083",
            "telephone_number": "315-580-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10734 MONROE RD STE 5",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281058397",
            "telephone_number": "704-841-0240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8821 University East Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282134200",
            "country_code": "US",
            "telephone_number": "704-428-9006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEFOGLO",
        "first_name": "SUZANNA",
        "middle_name": "MYALIK",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "285165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE NUMBER, ISSUED BY NORTH CAROLINA BOARD OF NURSING",
            "identifier": "285165",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ava Elisabeth Starnes
• Gary M. Starr, DDS
• Yesenia B Stavros, OTR/L
• Debra Steading, SLP
• Stefan a. Ploszak DDS, PA
• Susan Elizabeth Steier, MS, LPCA
• Joshua Stein
• Stepping Stone, Inc.
• Stepping Stone, Inc.
• Steven Dickens DDS, Ms, PA (Starr and Dickens Orthodontics)

• Family Nurse Practitioner in Matthews, NC
• Providers in Matthews, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.