Jennifer Michele Suffridge, APRN-CNP, PHMNP-BC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

APRN.CNP.025832 Issued in OH

Practice address

6300 N Main St
Dayton, OH 45415-3154

Phone

(937) 524-1233

NPI assigned

Jan 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1477184638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 ROBINWAY DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452302151",
            "telephone_number": "513-344-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153154",
            "telephone_number": "937-524-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUFFRIDGE",
        "first_name": "JENNIFER",
        "middle_name": "MICHELE",
        "credential": "APRN-CNP, PHMNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "APRN.CNP.025832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "APRN.CNP.025832",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dayton",
            "affiliation": "N",
            "endpointDescription": "Dayton Ohio",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6300 N Main St",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454153154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bradley Louis Subler, DO
• Rimsha Subzwari
• Anca Suciu, MD
• Carol Suddath
• Garrett Sudimack, P.T.
• Sugarcreek Township Ttees
• Tennis Jasper Sugg Jr., DO, MPH
• Sarah Ruth Suhood, DO
• Shrutika Sukumar, PA-C
• Beth Anna Sullivan, MD

• Psychiatry Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.