Jeanine Patchan Superata, CRFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AC000291 Issued in MD

Practice address

10 Center Dr
Building 10 (CRC), Room 3-5330
Bethesda, MD 20892-0001

Phone

(301) 451-7128

NPI assigned

Mar 13, 2012

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": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1730454430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CENTER DR",
            "address_2": "BUILDING 10 (CRC), ROOM 3-5330",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-451-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTER DR",
            "address_2": "BUILDING 10 (CRC), ROOM 3-5330",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-451-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPERATA",
        "first_name": "JEANINE",
        "middle_name": "PATCHAN",
        "name_prefix": "Ms.",
        "credential": "CRFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC000291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Taylor Sundby, MD
• Lauretta Suneborn
• Sidney Kumar Suneja, M.D.
• Super Smile Center of Bethesda
• Super Smile Center of Bethesda
• Minnu Hanna Suresh
• Surgcenter of the Potomac, LLC
• Surgery Center of Bethesda, Inc.
• Surgical Specialty Center of Mid Atlantic, LLC
• Jose A.T. Suros, M.D.

• Family Nurse Practitioner in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.