Indy Monet Sugick
Individual provider Active NPI Nurse's Aide · Youngstown, OH
NPI 1366950255 · NPPES record last updated Jan 13, 2018
Key facts
- NPI
- 1366950255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 401765010615 (OH)
- Practice address
- 5049 Aravesta Ave Apt 6
Youngstown, OH 44512-2009 - Phone
- (330) 990-0710
- NPI assigned
- Jan 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 401765010615 | OH | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affable Commutes | Current | Accepting new patients | |
| Affable Commutes | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 401765010615 | OH | Yes |
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
- Indy M Sugick
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.