Individual provider Active NPI

Suzanne Satterfield, OT

  • Community Health Worker
  • Nashville, TN
National Provider Identifier
1518215896
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
0000000854 Issued in TN
Practice address
1900 Graybar LN
Nashville, TN 37215-2110
Phone
(615) 690-3091
NPI assigned
Aug 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 0000000854 TN Primary

Addresses

Primary practice location

1900 Graybar LN
Nashville, TN 37215-2110

Mailing address

1833 Primrose Ave
Nashville, TN 37212-6023
Phone (615) 202-5553

Other names 1

  • Jaclyn Suzanne Holland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130124000085 TN Practitioner - Occupational Therapist in Private Practice 0143473595 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000000854TNMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
First Steps, Inc. CurrentSince Sep 11, 2012 Accepting new patients
Peak Pediatric Therapy, LLC Past Accepting new patients

Locations

1900 Graybar Ln
Nashville, TN 37215
Phone (615) 690-3091

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345161600000",
    "number": "1518215896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 PRIMROSE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372126023",
            "telephone_number": "615-202-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GRAYBAR LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152110",
            "telephone_number": "615-690-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTERFIELD",
        "first_name": "SUZANNE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-17",
        "last_updated": "2012-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "TN",
            "license": "0000000854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "HOLLAND",
            "middle_name": "SUZANNE",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.