Nicole Ruiz Sue

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95015504 Issued in CA

Practice address

3605 Vista Way
BLDG. B, Ste. 130
Oceanside, CA 92056-4565

Phone

(760) 547-1010

Fax

(760) 547-1011

NPI assigned

Nov 9, 2020

Sex

Female

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

Interoperability endpoints

• Direct secure messaging: nrsue@southphiladelphiapediatrics.opdirect.net

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1326640996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 MURPHY CANYON RD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234411",
            "telephone_number": "858-502-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 VISTA WAY",
            "address_2": "BLDG. B, STE. 130",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564565",
            "telephone_number": "760-547-1010",
            "fax_number": "760-547-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2067 W Vista Way Ste 180",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920836033",
            "country_code": "US",
            "telephone_number": "760-945-3434",
            "fax_number": "760-945-6761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUE",
        "first_name": "NICOLE",
        "middle_name": "RUIZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95015504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Sophie Stumpp
• Anakaren Suarez
• Meliza Suarez, FNP
• Rey D Suarez
• Anna Sudit
• Lauren Sugay
• Nicholas Sugo, DMD
• Tony Suk, D.D.S.
• Ruby Lorraine Summus, RN-BC
• Sun Health Career Solutions, Inc.

• Pediatric Nurse Practitioner in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.