Active NPI
Suzanne Vasquez
- Peer Specialist
- Lima, OH
National Provider Identifier
1427555770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- CDCA163712
- Practice address
- 311 E Market St
Lima, OH 45801-4535 - Phone
- (419) 222-4474
- NPI assigned
- Apr 11, 2018
- Last updated
- Apr 11, 2018
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CDCA163712 | OH | Primary |
Addresses
Primary practice location
311 E Market St
Lima, OH 45801-4535
Mailing address
835 Skinner St Lot 54
Delphos, OH 45833-2276
Phone (419) 203-6303
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 |
|---|---|---|---|
| CDCA163712 | OH | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc | Past | Accepting new patients | |
| Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc | Past | 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.
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- Lima, OH
- NPI 1336780196
-
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- Community Health Clinic/Center
- Lima, OH
- NPI 1629144050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523404800000",
"number": "1427555770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 SKINNER ST LOT 54",
"city": "DELPHOS",
"state": "OH",
"postal_code": "458332276",
"telephone_number": "419-203-6303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 E MARKET ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458014535",
"telephone_number": "419-222-4474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "SUZANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-11",
"last_updated": "2018-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "CDCA163712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.