Individual provider Active NPI

Deanna M Suggs, CNP

  • Family Nurse Practitioner
  • Phoenix, NM
National Provider Identifier
1295726206
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP00403 Issued in NM
Practice address
Regional Admin Office
3411 N 5TH Ave., Ste. 209
Phoenix, NM 85013-3812
Phone
(602) 789-0344
Fax
(602) 789-8389
NPI assigned
Oct 31, 2005
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R23249 NM
Family Nurse Practitioner 363LF0000X CNP00403 NM Primary

Addresses

Primary practice location

Regional Admin Office
3411 N 5TH Ave., Ste. 209
Phoenix, NM 85013-3812

Mailing address

Regional Admin Office
3411 N 5TH Ave., Ste. 209
Phoenix, NM 85013-3812
Phone (602) 789-0344

Other practice location 1

2330 W Pierce St
Carlsbad, NM 88220-3514
Phone (575) 234-9695

Other practice location 2

2330 W Pierce St
Carlsbad, NM 88220-3514
Phone (575) 234-9695

Other identifiers 2

IdentifierTypeStateIssuer
00NM026398OtherNMBCBS
G3296MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040730000968 NM Practitioner - Nurse Practitioner 8022088434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLeod Medical Centers of NM IncGroup PAC ID 5092075531, 54 clinicians

Practice addresses (Care Compare)

12127B Hwy 14 N
Suite 5
Cedar Crest, NM 87008-9499
Phone (505) 281-5180

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP00403NMMDFamily Nurse Practitioner
R23249NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Medical Centers of NM, Inc. CurrentSince May 1, 2019 Accepting new patients
McLeod Medical Centers of NM, Inc. CurrentSince May 1, 2019 Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients
Arizona Acute Medical Services 1 PC Past Accepting new patients
Pecos Valley of New Mexico, LLC Past Accepting new patients

Locations

11501 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 814-1333

1901 Juan Tabo Blvd NE
Albuquerque, NM 87112
Phone (505) 262-9200

4410 Irving Blvd NW
Albuquerque, NM 87114
Phone (505) 768-6123

7200 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 814-1995

12127 N State Highway 14
Ste 5
Cedar Crest, NM 87008
Phone (505) 281-2460

1851 Old US 66
Edgewood, NM 87015
Phone (505) 281-8463

1202 Main St NE
Ste A
Los Lunas, NM 87031
Phone (505) 565-0070

Interoperability endpoints

  • Direct secure messaging: deanna.suggs.1@27050.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295726206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "REGIONAL ADMIN OFFICE",
            "address_2": "3411 N 5TH AVE., STE. 209",
            "city": "PHOENIX",
            "state": "NM",
            "postal_code": "850133812",
            "telephone_number": "602-789-0344",
            "fax_number": "602-789-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REGIONAL ADMIN OFFICE",
            "address_2": "3411 N 5TH AVE., STE. 209",
            "city": "PHOENIX",
            "state": "NM",
            "postal_code": "850133812",
            "telephone_number": "602-789-0344",
            "fax_number": "602-789-8389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2330 W Pierce St",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "882203514",
            "country_code": "US",
            "telephone_number": "575-234-9695",
            "fax_number": "575-887-5237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2330 W Pierce St",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "882203514",
            "country_code": "US",
            "telephone_number": "575-234-9695",
            "fax_number": "575-887-5237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUGGS",
        "first_name": "DEANNA",
        "middle_name": "M",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R23249",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP00403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00NM026398",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G3296",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.