Rosanna Patricia Suppa, MA CCCLA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AT000016L Issued in PA

Practice address

111 Elwyn Rd
Ste B1 Yago Building
Elwyn, PA 19063-4622

Phone

(610) 891-2216

Fax

(610) 891-7000

NPI assigned

May 5, 2006

Last updated

Jul 13, 2026By 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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679521215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ELWYN RD",
            "address_2": "STE B1 YAGO BUILDING",
            "city": "ELWYN",
            "state": "PA",
            "postal_code": "190634622",
            "telephone_number": "610-891-2216",
            "fax_number": "610-891-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ELWYN RD",
            "address_2": "STE B1 YAGO BUILDING",
            "city": "ELWYN",
            "state": "PA",
            "postal_code": "190634622",
            "telephone_number": "610-891-2216",
            "fax_number": "610-891-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPPA",
        "first_name": "ROSANNA",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "MA CCCLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000016L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01650369",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1030923",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0486041000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Teresa Mesete
• Kurt P. Miceli, MD
• Lona Otero, OTRL
• Jean Kinzinger Schild, PT, DPT
• Gerald Skillings, PSYD
• Edlira Tegu, PMHNP
• Jennifer Lynn Torrey, LPC
• Margaret Twigg, OTRL
• Francine Vasquez
• Janine Diane Wiciak

• Audiologist in Elwyn, PA
• Providers in Elwyn, PA by specialty
• Audiologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.