Active NPI
Lynda Kay Suciu, M.S., R.N., C.S.
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Burton, MI
National Provider Identifier
1295800134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 311781
- Practice address
- 6289 Burningtree Dr
Burton, MI 48509-2610 - Phone
- (810) 877-6007
- Fax
- (810) 877-6008
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 311781 | CA | Primary |
Addresses
Primary practice location
6289 Burningtree Dr
Burton, MI 48509-2610
Mailing address
6289 Burningtree Dr
Burton, MI 48509-2610
Phone (810) 877-6007
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)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311781 | CA | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371686400000",
"number": "1295800134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6289 BURNINGTREE DR",
"city": "BURTON",
"state": "MI",
"postal_code": "485092610",
"telephone_number": "810-877-6007",
"fax_number": "810-877-6008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6289 BURNINGTREE DR",
"city": "BURTON",
"state": "MI",
"postal_code": "485092610",
"telephone_number": "810-877-6007",
"fax_number": "810-877-6008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUCIU",
"first_name": "LYNDA",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "M.S., R.N., C.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2013-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "CA",
"license": "311781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.