Individual provider Active NPI

Nicole Brooke Suggs

  • Adult Health Nurse Practitioner
  • Canton, OH
National Provider Identifier
1639714595
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.0041912 Issued in OH
Practice address
236 3Rd St SW
Canton, OH 44702-1607
Phone
(330) 209-3800
NPI assigned
Nov 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X RN417096 OH
Critical Care Medicine Registered Nurse 163WC0200X RN417096 OH
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.0041912 OH Primary

Addresses

Primary practice location

236 3Rd St SW
Canton, OH 44702-1607

Mailing address

236 3Rd St SW
Canton, OH 44702-1607
Phone (330) 754-4431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

236 3Rd St SW
Canton, OH 44702-1607

300 Dave Cowens Dr
600 Suite 600
Newport, KY 41071-4543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN417096OHMDMedical-Surgical Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1639714595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 3RD ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021607",
            "telephone_number": "330-754-4431",
            "fax_number": "330-244-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 3RD ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021607",
            "telephone_number": "330-209-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGGS",
        "first_name": "NICOLE",
        "middle_name": "BROOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "OH",
            "license": "RN417096",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OH",
            "license": "RN417096",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.0041912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.