Individual provider Active NPI

Ginou Supre

  • Registered Nurse
  • Punta Gorda, FL
National Provider Identifier
1932063310
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9550663 Issued in FL
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

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN9550663FLMDIntellectual and/or Developmental Disabilities Residential Treatment Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired Living Group Home LLC Residential Treatment Facility, Intellectual and/Or Developmental Disabilities CurrentSince Dec 14, 2025 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.

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

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.

Verify at the official NPI Registry.