Active NPI
Suzanne Lydia Ragsdale, FNP-C, MSN
- Family Nurse Practitioner
- Santa Rosa, CA
National Provider Identifier
1295888634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3796
- Practice address
- 450 Bicentennial Way
Kaiser Medical Center
Santa Rosa, CA 95403 - Phone
- (707) 571-4441
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3796 | CA | Primary |
Addresses
Primary practice location
450 Bicentennial Way
Kaiser Medical Center
Santa Rosa, CA 95403
Mailing address
450 Bicentennial Way
Santa Rosa, CA 95403
Phone (707) 571-4044
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 - Nursing, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1295888634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 BICENTENNIAL WAY",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95403",
"telephone_number": "707-571-4044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 BICENTENNIAL WAY",
"address_2": "KAISER MEDICAL CENTER",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95403",
"telephone_number": "707-571-4441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGSDALE",
"first_name": "SUZANNE",
"middle_name": "LYDIA",
"credential": "FNP-C, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "3796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.