Nicole Lee Sudia, INDEPENDENT PROVIDER

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

6602 Covington CV
Canfield, OH 44406-8161

Phone

(234) 232-4417

NPI assigned

Feb 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1508510363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 AETNA ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444603752",
            "telephone_number": "234-232-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 COVINGTON CV",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068161",
            "telephone_number": "234-232-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDIA",
        "first_name": "NICOLE",
        "middle_name": "LEE",
        "credential": "INDEPENDENT PROVIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "1501267",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Stein, BCBA
• Gina Marie Stephenson
• Connie Stewart, LPN
• Douglas James Styka, D.D.S.
• Suburban Radiology Limi
• Debra Rae Suffolk, M.A., CCC-SLP
• Logan N Sullivan, RD LDN
• Surgery Center of Canfield, LLC
• Robin Suzelis
• Nicole Elizabeth Svasta

• Homemaker in Canfield, OH
• Providers in Canfield, OH by specialty
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.