Individual provider Active NPI

Jennifer Suter

  • Registered Nurse
  • Keyser, WV
National Provider Identifier
1851003974
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
10559 Issued in WV
Practice address
535 Ponderosa LN
Keyser, WV 26726-6883
Phone
(394) 790-0573
NPI assigned
Dec 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 10559 WV Primary

Addresses

Primary practice location

535 Ponderosa LN
Keyser, WV 26726-6883

Mailing address

535 Ponderosa LN
Keyser, WV 26726-6883
Phone (394) 790-0573

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jennifer.suter1@wvumedicine.org Direct

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

LicenseStateTypeSpecialty
10559WVMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1851003974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 PONDEROSA LN",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267266883",
            "telephone_number": "394-790-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 PONDEROSA LN",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267266883",
            "telephone_number": "394-790-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTER",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "10559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jennifer.suter1@wvumedicine.org",
            "affiliation": "N",
            "endpointDescription": "WVU email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "535 Ponderosa Ln",
            "city": "Keyser",
            "state": "WV",
            "country_code": "US",
            "postal_code": "267266883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Keyser, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.