Amy Suddeth, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Warrior, AL
NPI 1750143871 · NPPES record last updated Feb 6, 2024
Key facts
- NPI
- 1750143871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-157361 (AL)
- Practice address
- 143 White Oak Trail
Warrior, AL 35180 - Phone
- (208) 647-1819
- Fax
- (205) 647-1891
- NPI assigned
- Jan 24, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Urgent Care South, Inc.
Fast Pace Medical Clinic PLLC
Practice addresses (Care Compare)
143 White Oak TRL
Warrior, AL 35180-5736
Phone (205) 647-1819
416 N Seminary St
Suite 1100
Florence, AL 35630-6411
Phone (931) 253-1110
998 2ND Ave E
Oneonta, AL 35121-2506
Phone (205) 395-5014
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240501000158 | AL | Practitioner - Nurse Practitioner | 8729428289 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Urgent Care South, Inc. | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Rural Primary Care South, Inc. | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Urgent Care South, Inc | Current |
Accepting new patients |
Locations
416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280
6316 Piccadilly Square Dr
#A
Mobile, AL 36609
Phone (205) 822-8038
143 White Oak Trl
Ste 201
Warrior, AL 35180
Phone (205) 647-1777
143 White Oak Trl
Ste 2
Warrior, AL 35180
Phone (205) 543-6668
143 White Oak Trl
Warrior, AL 35180
Phone (205) 647-1819
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-157361 | AL | Yes |
Addresses
Primary practice location
143 White Oak Trail
Warrior, AL 35180
Mailing address
143 White Oak Trail
Warrior, AL 35180
Phone (208) 647-1819
Other providers in Warrior, AL
- Brad H Sokal
- Heather Southern
- Jessie Gail Still
- Ashley Stockman
- Stonecreek Acquisitions, LLC
- Jordan H Taylor
- The Corner Drug Store
- The Corner Drug Store, Inc
- Shannon Turner
- Urgent Care South, Inc
All providers in Warrior, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.