Sucasa Health LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

SUCASA HEALTH LLC

Practice address

8208 Kimbershell PL
Henrico, VA 23229-8436

Phone

(877) 655-8500

Fax

(888) 966-3819

NPI assigned

Apr 20, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Michael Ansell, MBA

Title

Managing Member

Phone

(877) 655-8500

Specialties & licenses 1

Addresses

Other names 1

• SUCASA HEALTH Doing business as

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1508500133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8208 KIMBERSHELL PL",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232298436",
            "telephone_number": "877-655-8500",
            "fax_number": "888-966-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8208 KIMBERSHELL PL",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232298436",
            "telephone_number": "877-655-8500",
            "fax_number": "888-966-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCASA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "ANSELL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "877-655-8500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUCASA HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Nurse Practitioner in Henrico, VA
• Providers in Henrico, VA by specialty
• Primary Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.