Individual provider Active NPI

Clarissa Suguitan

  • Licensed Practical Nurse
  • Perrysburg, OH
National Provider Identifier
1457142671
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
192485 Issued in OH
Practice address
3529 Rivers Edge Dr
Perrysburg, OH 43551-1672
Phone
(419) 874-2428
NPI assigned
May 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 192485 OH Primary

Addresses

Primary practice location

3529 Rivers Edge Dr
Perrysburg, OH 43551-1672

Mailing address

12339 Waterstone LN Apt 910
Perrysburg, OH 43551-2092
Phone (440) 715-3720

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
192485OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1457142671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12339 WATERSTONE LN APT 910",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512092",
            "telephone_number": "440-715-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3529 RIVERS EDGE DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511672",
            "telephone_number": "419-874-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGUITAN",
        "first_name": "CLARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "192485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.