Organization Active NPI

Susan C Jannou DPM PA

  • Primary Podiatric Medicine Podiatrist
  • Nokomis, FL
National Provider Identifier
1447434188
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
PO2384 Issued in FL
Legal business name
SUSAN C JANNOU DPM PA
Practice address
2420 Tamiami TRL N
Suite a
Nokomis, FL 34275-3421
Phone
(941) 966-1777
Fax
(941) 966-8628
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Susan C Jannou, DPM
Title
Owner
Phone
(941) 966-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X PO2384 FL Primary

Addresses

Primary practice location

2420 Tamiami TRL N
Suite a
Nokomis, FL 34275-3421

Mailing address

2420 Tamiami TRL N
Suite a
Nokomis, FL 34275-3421
Phone (941) 966-1777

National Provider Directory

National Provider Directory

Locations

2420 Tamiami Trl N
Ste A
Nokomis, FL 34275
Phone (941) 966-1777

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1447434188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 TAMIAMI TRL N",
            "address_2": "SUITE A",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342753421",
            "telephone_number": "941-966-1777",
            "fax_number": "941-966-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 TAMIAMI TRL N",
            "address_2": "SUITE A",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342753421",
            "telephone_number": "941-966-1777",
            "fax_number": "941-966-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN C JANNOU DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "JANNOU",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-966-1777",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO2384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nokomis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.