Active NPI
Ian Suber
- Counselor
- Lake City, FL
National Provider Identifier
1841910346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 143 NW Parnell Ave
Lake City, FL 32055-0714 - Phone
- (386) 249-2194
- NPI assigned
- Sep 2, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
143 NW Parnell Ave
Lake City, FL 32055-0714
Mailing address
143 NW Parnell Ave
Lake City, FL 32055-0714
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | isuber@bridgesofflorida.org |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1841910346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 NW PARNELL AVE",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320550714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 NW PARNELL AVE",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320550714",
"telephone_number": "386-249-2194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUBER",
"first_name": "IAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-02",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "isuber@bridgesofflorida.org",
"affiliation": "N",
"address_1": "143 NW Parnell Ave",
"city": "Lake City",
"state": "FL",
"country_code": "US",
"postal_code": "320550714",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.