Active NPI
Suzanne Elizabeth Spillner, MSN, FNP, RN
- Family Nurse Practitioner
- Vallejo, CA
National Provider Identifier
1316211576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21918
- Practice address
- 33 Marina Ridge CT
Vallejo, CA 94591-6429 - Phone
- (707) 704-8938
- NPI assigned
- Mar 5, 2012
- Last updated
- Aug 20, 2012
- 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 | 21918 | CA | Primary |
Addresses
Primary practice location
33 Marina Ridge CT
Vallejo, CA 94591-6429
Mailing address
33 Marina Ridge CT
Vallejo, CA 94591-6429
Phone (707) 704-8938
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, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21918 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345420800000",
"number": "1316211576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 MARINA RIDGE CT",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945916429",
"telephone_number": "707-704-8938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 MARINA RIDGE CT",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945916429",
"telephone_number": "707-704-8938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPILLNER",
"first_name": "SUZANNE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "MSN, FNP, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-05",
"last_updated": "2012-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "21918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.