Active NPI
Lori Wood Sudduth, FNP
- Nurse Practitioner
- Demopolis, AL
National Provider Identifier
1356725626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F0615677
- Practice address
- 203 US Highway 80 W
Demopolis, AL 36732-4103 - Phone
- (334) 289-1517
- Fax
- (334) 289-8353
- NPI assigned
- Jul 16, 2015
- Last updated
- Jul 16, 2015
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F0615677 | AL | Primary |
Addresses
Primary practice location
203 US Highway 80 W
Demopolis, AL 36732-4103
Mailing address
203 US Highway 80 W
P O Box 935
Demopolis, AL 36732-4103
Phone (334) 289-1517
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 |
|---|---|---|---|
| F0615677 | AL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1356725626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 US HIGHWAY 80 W",
"address_2": "P O BOX 935",
"city": "DEMOPOLIS",
"state": "AL",
"postal_code": "367324103",
"telephone_number": "334-289-1517",
"fax_number": "334-289-8353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 US HIGHWAY 80 W",
"city": "DEMOPOLIS",
"state": "AL",
"postal_code": "367324103",
"telephone_number": "334-289-1517",
"fax_number": "334-289-8353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDDUTH",
"first_name": "LORI",
"middle_name": "WOOD",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-16",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "F0615677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Demopolis, AL
- Ellen Lewis Singleton, CRNP
- Southeast Cancer Network, Inc
- William Don Sprewell, PT
- Statewide Healthcare Services, Inc (Oxford Healthcare)
- Hannah Stewart, MS, ATC
- Makailyn Tianna Taylor
- Cathy Teat, LMT
- Thomas L Whitaker DMD PC
- Tombigbee Health Services, LLC (Tombigbee Home Medical Equipment)
- Tombigbee Healthcare Authority (Healthstart 7)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.