Jessica Mae Sutkowski, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

226400 Issued in SC

Practice address

106 Westview Dr
Goose Creek, SC 29445-3007

Phone

(843) 259-1236

NPI assigned

Apr 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1972245090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SHENANDOAH CT",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855013",
            "telephone_number": "843-615-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WESTVIEW DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453007",
            "telephone_number": "843-259-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTKOWSKI",
        "first_name": "JESSICA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-09",
        "last_updated": "2022-04-09",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "226400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sutkowjm@dhec.sc.gov",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SC DHEC email",
            "address_1": "106 Westview Dr",
            "city": "Goose Creek",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294453007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Loretta Jenkins Sumter, MSW
• Lacy Sundberg, MSN
• Superior Healthcare LLC
• Susan K Jones LLC
• Gary Michael Sussman, PSY.D.
• John Douglas Sutterlin III, MD
• Jennifer K. Swiler, APRN/FNP
• Jennifer Talbert, ORT/L
• Cayce C. Tangeman, M.D.
• Amanda Brooke Taylor

• Registered Nurse in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.