REBECCA SUE SUFFETY (NPI# 1568711810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568711810 |
| Entity Type | Individual |
| Full Name | REBECCA SUE SUFFETY |
| Credential | NP-BC |
| Practice Address |
14069 Marquesas Way Apt 215d Marina Del Rey CA 90292-6074 |
| Practice Telephone | 8709188057 |
| Mailing Telephone | 8709188057 |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2012-09-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22091 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14069 MARQUESAS WAY APT 215D |
| City | MARINA DEL REY |
| State | CA |
| Zip Code | 90292-6074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142420 | Katy Kleinberg | Physical Therapist | 4820 Lincoln Blvd., Marina Del Rey, CA 90292 | 2020-01-02 |
| 1568028330 | Kylie Nakamine | Physical Therapist | 4820 Lincoln Bld, Marina Del Rey, CA 90292 | 2019-05-16 |
| 1033627807 | Kareema Nasouf | Social Worker | 578 Washington Blvd. #815, Marina Del Rey, CA 90292 | 2018-01-16 |
| 1861916611 | Jaqueline Berenice Higbee | Behavior Technician | 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 | 2017-08-02 |
| 1063942696 | Luis Albert Japngie | Chiropractor | 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 | 2017-06-15 |
| 1427509082 | Melissa Dowling | Nurse Anesthetist, Certified Registered | 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 | 2016-10-19 |
| 1578932950 | Gratto Aquatic Rehab | Clinic/Center | 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 | 2015-09-16 |
| 1285018309 | Reed Chiropractic & Wellness Center A Professional Corporation | Chiropractor | 4207 Del Rey Ave., Marina Del Rey, CA 90292 | 2015-07-18 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1689957805 | Medbil, LLC | Anesthesiology | 1024 Oxford Ave., Marina Del Rey, CA 90292 | 2011-09-23 |
| Find all providers in zip 90292 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381133 | Kristin Geiger | Nurse Practitioner | 4676 Admiralty Way Ste 101, Marina Del Rey, CA 90292-6609 | 2019-11-26 |
| 1447818315 | Michelle Camaligan | Nurse Practitioner | 4210 Del Rey Ave Ste 512, Marina Del Rey, CA 90292-5606 | 2019-06-05 |
| 1568769115 | Carmen Savannah Saunders | Nurse Practitioner | 4644 Lincoln Blvd Ste 424, Marina Del Rey, CA 90292-6390 | 2011-02-17 |
| 1467006577 | Torbertha Pannor Torbon | Nurse Practitioner | 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 | 2019-07-26 |
| 1487168464 | Quyen Nguyen | Nurse Practitioner | 13171 Mindanao Way, Marina Del Rey, CA 90292-6307 | 2017-11-28 |
| 1366952608 | Jennifer Chen | Nurse Practitioner | 13171 Mindanao Way, Marina Del Rey, CA 90292-6307 | 2017-09-30 |
| 1710347133 | Lennis Joyce | Nurse Practitioner | 13171 Mindanao Way, Marina Del Rey, CA 90292-6307 | 2016-02-26 |
| 1467854497 | Sandy Wang | Nurse Practitioner | 13171 Mindanao Way, Marina Del Rey, CA 90292-6307 | 2014-09-22 |
| 1881942274 | Mary Rezk Hanna | Nurse Practitioner | 13171 Mindanao Way, Marina Del Rey, CA 90292-6307 | 2012-08-16 |
| 1588948210 | Melanie Kaye Reed | Nurse Practitioner | 13171 Mindanao Way, Marina Del Rey, CA 90292-6307 | 2011-09-29 |
| Find all providers in MARINA DEL REY | ||||
| City | MARINA DEL REY |
| Zip Code | 90292 |
Please comment or provide details below to improve the information on REBECCA SUE SUFFETY.
| 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.