Sharon Jordan Suso

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CN0000008047 Issued in GA

Practice address

5453 Deerfield Trail
College Park, GA 30349-3173

Phone

(404) 587-0008

NPI assigned

Nov 15, 2016

Last updated

Nov 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Sharon Melinda Neal Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1932641412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5453 DEERFIELD TRAIL",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493173",
            "telephone_number": "404-587-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5453 DEERFIELD TRAIL",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493173",
            "telephone_number": "404-587-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSO",
        "first_name": "SHARON",
        "middle_name": "JORDAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "CN0000008047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA NURSE AIDE REGISTRY",
            "identifier": "CN0000008047",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "NEAL",
            "middle_name": "MELINDA",
            "prefix": "MRS.",
            "credential": "CNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Nurse's Aide in College Park, GA
• Providers in College Park, GA by specialty
• Nurse's Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.