Amy Suddeth, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-157361 Issued in AL

Practice address

143 White Oak Trail
Warrior, AL 35180

Phone

(208) 647-1819

Fax

(205) 647-1891

NPI assigned

Jan 24, 2024

Last updated

Feb 6, 2024By 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

Enrolled in AL

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.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care South, Inc.Group PAC ID 3274793039, 7 clinicians

Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Florence, AL
  • NPI 1639679962
  Medicare reassignment Care Compare group NPD
• Urgent Care South, Inc.

  dba Primary & Urgent Care South

  • Internal Medicine Physician
  • Warrior, AL
  • NPI 1184999773
  Medicare reassignment Care Compare group NPD
• Rural Primary Care South, Inc.

  • Rural Health Clinic/Center
  • Warrior, AL
  • NPI 1508277310
  Medicare reassignment NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498
  Medicare reassignment NPD
• Urgent Care South, Inc

  • Urgent Care Clinic/Center
  • Warrior, AL
  • NPI 1487920773
  NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Ocoee, FL
  • NPI 1326906843
  NPD

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1750143871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 WHITE OAK TRAIL",
            "city": "WARRIOR",
            "state": "AL",
            "postal_code": "35180",
            "telephone_number": "208-647-1819",
            "fax_number": "205-647-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 WHITE OAK TRAIL",
            "city": "WARRIOR",
            "state": "AL",
            "postal_code": "35180",
            "telephone_number": "208-647-1819",
            "fax_number": "205-647-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDDETH",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-157361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad H Sokal, PHD
• Heather Southern, LICSW
• Jessie Gail Still, DMD
• Ashley Stockman, ATC
• Stonecreek Acquisitions, LLC (Stonecreek Dental Care)
• Jordan H Taylor, D.M.D
• The Corner Drug Store
• The Corner Drug Store, Inc
• Shannon Turner
• Urgent Care South, Inc

• Family Nurse Practitioner in Warrior, AL
• Providers in Warrior, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.