Active NPI
Suzette Lois Reddie
- Case Manager/Care Coordinator
- Vero Beach, FL
National Provider Identifier
1699248070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1910 82ND Ave
Vero Beach, FL 32966-6990 - Phone
- (772) 492-9841
- Fax
- (772) 492-9846
- NPI assigned
- Jan 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1910 82ND Ave
Vero Beach, FL 32966-6990
Mailing address
1900 Woodland Cir Apt 208
Vero Beach, FL 32967-2041
Phone (786) 800-7127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1699248070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 WOODLAND CIR APT 208",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329672041",
"telephone_number": "786-800-7127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 82ND AVE",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329666990",
"telephone_number": "772-492-9841",
"fax_number": "772-492-9846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDIE",
"first_name": "SUZETTE",
"middle_name": "LOIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-08",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.