Individual provider Active NPI

Roxanne Sudhoff, RN, IPC

  • Infection Control Registered Nurse
  • Simsbury, CT
National Provider Identifier
1902561418
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infection Control Registered NurseTaxonomy code 163WI0600X
License
E55520 Issued in CT
Practice address
36 Firetown Rd
Simsbury, CT 06070-3401
Phone
(860) 658-1018
Fax
(860) 658-7250
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infection Control Registered Nurse 163WI0600X E55520 CT Primary

Addresses

Primary practice location

36 Firetown Rd
Simsbury, CT 06070-3401

Mailing address

36 Firetown Rd
Simsbury, CT 06070-3401
Phone (860) 658-1018

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SIMSBURY Health Information Exchange (HIE)

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
E55520CTMDInfection Control Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1902561418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 FIRETOWN RD",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060703401",
            "telephone_number": "860-658-1018",
            "fax_number": "860-658-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 FIRETOWN RD",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060703401",
            "telephone_number": "860-658-1018",
            "fax_number": "860-658-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDHOFF",
        "first_name": "ROXANNE",
        "name_prefix": "Mrs.",
        "credential": "RN, IPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "CT",
            "license": "E55520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SIMSBURY",
            "affiliation": "N",
            "endpointDescription": "healthcare",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SIMSBURY",
            "address_1": "36 Firetown Rd",
            "city": "Simsbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060703401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Simsbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.