Zakary Joseph Suttles, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5236647 Issued in FL

Practice address

3508 Far West Blvd
Austin, TX 78731-3080

Phone

(781) 486-4109

NPI assigned

Aug 27, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1285115303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TANGLEWOOD TRCE",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594433",
            "telephone_number": "904-652-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 FAR WEST BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313080",
            "telephone_number": "781-486-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTLES",
        "first_name": "ZAKARY",
        "middle_name": "JOSEPH",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5236647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Brooke Sutley, PA-C
• Dana Jo Sutter, LCSW
• Claudia Kay Suttle-Field
• Jaime Charde Suttles, RN
• Tess Lenor Suttles, MD
• Cassandra Leigh Sutto, LVN
• Carrie E Sutton, CRNA
• Christopher Henry Sutton, MSN, APRN, BC-AGACNP
• Christy Lock Sutton, D.C.
• Evelyn Sutton

• Licensed Practical Nurse in Austin, TX
• Providers in Austin, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.