Active NPI
Karen Melissa Suffia, OTA/L
- Feeding, Eating & Swallowing Occupational Therapy Assistant
- Federal Way, WA
National Provider Identifier
1760750723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Feeding, Eating & Swallowing Occupational Therapy Assistant
- License
- OC 00000413
- Practice address
- 1010 S 336TH St Ste 210
Federal Way, WA 98003-7354 - Phone
- (866) 835-8091
- NPI assigned
- Dec 6, 2011
- 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 |
|---|---|---|---|---|
| Feeding, Eating & Swallowing Occupational Therapy Assistant | 224ZF0002X | OC 00000413 | WA | Primary |
Addresses
Primary practice location
1010 S 336TH St Ste 210
Federal Way, WA 98003-7354
Mailing address
10610 195TH Street CT E
Graham, WA 98338-8143
Phone (253) 875-3373
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC 00000413 | WA | MD | Feeding, Eating & Swallowing Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SHC Services Inc. | Past | Accepting new patients | |
| Supplemental Healthcare | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Skilled Nursing Facility
- Federal Way, WA
- NPI 1124306725
-
- Home Health Agency
- Federal Way, WA
- NPI 1932487535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1760750723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10610 195TH STREET CT E",
"city": "GRAHAM",
"state": "WA",
"postal_code": "983388143",
"telephone_number": "253-875-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S 336TH ST STE 210",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980037354",
"telephone_number": "866-835-8091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUFFIA",
"first_name": "KAREN",
"middle_name": "MELISSA",
"name_prefix": "Mrs.",
"credential": "OTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-06",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "224ZF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
"state": "WA",
"license": "OC 00000413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.