Patricia Diane Suiste, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703079462 Issued in MI

Practice address

97 S 4TH St
Ishpeming, MI 49849-2168

Phone

(906) 228-9699

Fax

(906) 485-1150

NPI assigned

May 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1548474208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 S 4TH ST",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498492168",
            "telephone_number": "906-228-9699",
            "fax_number": "906-485-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 S 4TH ST",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498492168",
            "telephone_number": "906-228-9699",
            "fax_number": "906-485-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUISTE",
        "first_name": "PATRICIA",
        "middle_name": "DIANE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "304675031",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703079462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42023100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Smith, MD
• Erich Glenn Smith, MD
• Sarah Elizabeth Smith, RN
• Virginia Frances Smith, WHNP-BC
• Ronald Snyder
• Jamie Sullivan, FNP-C
• Cassie Marie Sundberg, PA-C
• Elizabeth K. Sundblad, BS
• Superior Active Partners LLC
• David Scott Swanson, RN

• Licensed Practical Nurse in Ishpeming, MI
• Providers in Ishpeming, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.