Active NPI
Stacy Marie Sugg
- Dental Hygienist
- Bainbridge Island, WA
National Provider Identifier
1831721877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 00005657
- Practice address
- 835 Madison Ave N
Bainbridge Island, WA 98110-1700 - Phone
- (206) 842-4765
- NPI assigned
- Feb 7, 2020
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 00005657 | WA | Primary |
Addresses
Primary practice location
835 Madison Ave N
Bainbridge Island, WA 98110-1700
Mailing address
PO Box 2509
Poulsbo, WA 98370-0963
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 |
|---|---|---|---|
| 00005657 | WA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1831721877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2509",
"city": "POULSBO",
"state": "WA",
"postal_code": "983700963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 MADISON AVE N",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981101700",
"telephone_number": "206-842-4765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUGG",
"first_name": "STACY",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-07",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "00005657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.