Kaddie Surratt, CPO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

CPO04500

Practice address

400 Meadowmont Village Cir Ste 425
Chapel Hill, NC 27517-7505

Phone

(984) 974-5783

NPI assigned

Jan 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1497386452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MEADOWMONT VILLAGE CIR STE 425",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177505",
            "telephone_number": "984-974-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MEADOWMONT VILLAGE CIR STE 425",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177505",
            "telephone_number": "984-974-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURRATT",
        "first_name": "KADDIE",
        "credential": "CPO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": "CPO04500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Anne Marsh Sung, M.D.
• Kallie Marie Supernor, PHARM.D
• Donna Supple
• Vidhya Suresh, MD, ATC
• Michelle Lynn Surovec, PA-C
• Serkan Surucu, MD
• Raviteja Suryadevara, MD
• Susanne P. Jackson, DDS, PA
• Stephanie Sussman, M.D.
• Lisa R Susswein, MS

• Orthotist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Orthotist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.