Active NPI
Susan C Jannou DPM PA
- Primary Podiatric Medicine Podiatrist
- Nokomis, FL
National Provider Identifier
1447434188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- PO2384
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 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 DirectoryLocations
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.