Martha Suprano, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN099304 Issued in OH

Practice address

1338 Colegate Dr
Marietta, OH 45750-1329

Phone

(740) 374-8730

NPI assigned

Jun 13, 2016

Last updated

Jun 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1669821450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 COLEGATE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501329",
            "telephone_number": "740-374-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 COLEGATE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501329",
            "telephone_number": "740-374-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPRANO",
        "first_name": "MARTHA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN099304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Ellen Stritz, PTA
• Ann Chadwick Stump, OTR
• Lacie Sturm
• Carrie Stutler, OTR/L, CHT
• Sherri A. Sullivan, RN
• Surgical Associates of Marietta
• Josiah A Sutton
• Robert William Tackett, LPN
• Mahyar Tahbaz, DO
• Kacie Suzanne Taitt, CDCA

• Licensed Practical Nurse in Marietta, OH
• Providers in Marietta, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.