Individual provider Active NPI

Indy Monet Sugick

  • Nurse's Aide
  • Youngstown, OH
National Provider Identifier
1366950255
Registry record updated Jan 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
401765010615 Issued in OH
Practice address
5049 Aravesta Ave Apt 6
Youngstown, OH 44512-2009
Phone
(330) 990-0710
NPI assigned
Jan 13, 2018
Last updated
Jan 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 401765010615 OH Primary

Addresses

Primary practice location

5049 Aravesta Ave Apt 6
Youngstown, OH 44512-2009

Mailing address

5049 Aravesta Ave Apt 6
Youngstown, OH 44512-2009
Phone (330) 990-0710

Other names 1

  • Indy M Sugick Former name

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

LicenseStateTypeSpecialty
401765010615OHMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Affable Commutes Current Accepting new patients
Affable Commutes Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1515801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515801600000",
    "number": "1366950255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5049 ARAVESTA AVE APT 6",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445122009",
            "telephone_number": "330-990-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5049 ARAVESTA AVE APT 6",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445122009",
            "telephone_number": "330-990-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGICK",
        "first_name": "INDY",
        "middle_name": "MONET",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-13",
        "last_updated": "2018-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "401765010615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INDY",
            "last_name": "SUGICK",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2018; 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.