Active NPI
Ginou Supre
- Registered Nurse
- Punta Gorda, FL
National Provider Identifier
1932063310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9550663
- Practice address
- 23240 Fitzpatrick Ave
Punta Gorda, FL 33980-5730 - Phone
- (239) 601-2058
- NPI assigned
- Dec 10, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | RN9550663 | FL | |
| Registered Nurse | 163W00000X | RN9550663 | FL | Primary |
Addresses
Primary practice location
23240 Fitzpatrick Ave
Punta Gorda, FL 33980-5730
Mailing address
23240 Fitzpatrick Ave
Punta Gorda, FL 33980-5730
Phone (239) 601-2058
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 |
|---|---|---|---|
| RN9550663 | FL | MD | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspired Living Group Home LLC | Residential Treatment Facility, Intellectual and/Or Developmental Disabilities | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Punta Gorda, FL
- NPI 1528926722
Residential Treatment Facility, Intellectual and/Or Developmental Disabilities
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1932063310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23240 FITZPATRICK AVE",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339805730",
"telephone_number": "239-601-2058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23240 FITZPATRICK AVE",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339805730",
"telephone_number": "239-601-2058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUPRE",
"first_name": "GINOU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-10",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "FL",
"license": "RN9550663",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9550663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Punta Gorda, FL
- Suncoast Advanced Radiology Associates
- Suncoast Neuropsychiatric Wellness Center LLC
- Sunny Days Behavior Therapy LLC
- Sunrise Wellness & Family Practice Inc
- Wesley Whiton Sunter, PHARMD
- Kathleen Sutherland, RPH, BS
- Sutter J. Caton, P.T., LLC (Babcock Movement Physiotherapy & Wellness)
- SW Florida Cardiovascular Institute PLLC
- SWFL Scientific Rejuvenation LLC
- Sarah R. Swiatek, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.