Active NPI
Suzette Mollenido Suarez, NURSE PRACTITIONER
- Family Nurse Practitioner
- Florence, SC
National Provider Identifier
1336901362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F06230876
- Practice address
- 4011 Lake Russell Dr
Florence, SC 29501-8147 - Phone
- (843) 861-2120
- NPI assigned
- Jan 25, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F06230876 | SC | Primary |
Addresses
Primary practice location
4011 Lake Russell Dr
Florence, SC 29501-8147
Mailing address
4011 Lake Russell Dr
Florence, SC 29501-8147
Phone (843) 861-2120
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F06230876 | SC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1336901362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4011 LAKE RUSSELL DR",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295018147",
"telephone_number": "843-861-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 LAKE RUSSELL DR",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295018147",
"telephone_number": "843-861-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ",
"first_name": "SUZETTE",
"middle_name": "MOLLENIDO",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-25",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "F06230876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.