MS. TINA MARIE SUDDUTH (NPI# 1134424781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134424781 |
| Entity Type | Individual |
| Full Name | MS. TINA MARIE SUDDUTH |
| Credential | REGISTERED NURSE |
| Practice Address |
14191 Yale St Hesperia CA 92344-8290 |
| Practice Telephone | 9098551545 |
| Mailing Telephone | 9098551545 |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WN0003X |
Registered Nurse Specialization: Neonatal, Low-Risk |
396021 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316360084 | Tina Sudduth | Nurse Practitioner | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2014-01-30 |
| Street Address |
14191 YALE ST |
| City | HESPERIA |
| State | CA |
| Zip Code | 92344-8290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639246 | Carolyn Susan Shaw | Technician | 13312 Ranchero Rd #533, Oak Hills, CA 92344 | 2019-10-07 |
| 1821587684 | Joseph Mica Benavides | Licensed Practical Nurse | 6425 Columbine Rd., Oak Hills, CA 92344 | 2018-05-08 |
| 1841725280 | Ruben Sergio Padilla | Behavioral Analyst | 8794 Tustin Ave, Hesperia, CA 92344 | 2017-04-24 |
| 1184755233 | Virginia L Schwab | Counselor | 7657 Coleridge Road, Oak Hills, CA 92344 | 2007-03-08 |
| 1407347305 | Noel Norman Flowers Sr. | Driver | 13850 Rosemary St, Hesperia, CA 92344-0001 | 2018-05-25 |
| 1386015840 | Darin Saunders | Registered Nurse | 13842 Lemongrass Way, Hesperia, CA 92344-0042 | 2015-10-09 |
| 1629585856 | Amazing Grace Oasis | Intermediate Care Facility, Mentally Retarded | 13842 Lemongrass Way, Hesperia, CA 92344-0042 | 2018-01-09 |
| 1114572955 | Lighthouse Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 9184 Wild Horse Ave, Hesperia, CA 92344-0047 | 2019-08-08 |
| 1891212353 | Melissa Ann De Silva | Behavioral Analyst | 8546 Wagon Wheel Ct, Hesperia, CA 92344-0192 | 2017-08-25 |
| 1326695032 | Brooke A Palmer | Behavior Technician | 10720 Cedar St, Oak Hills, CA 92344-0660 | 2019-08-19 |
| Find all providers in zip 92344 | ||||
| Taxonomy Code | 163WN0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Neonatal, Low-Risk |
| Definition to come... |
Please comment or provide details below to improve the information on MS. TINA MARIE SUDDUTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.