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KAITLYN SUPPA CASE MANAGER
NPI 1952880908
Specialist in West Fargo, ND

Active since August 10, 2018
1520 2ND AVE NW, WEST FARGO, ND 58078(218) 287-4338 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaitlyn Suppa Case Manager NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLYN SUPPA CASE MANAGER (NPI 1952880908) is an individual specialist in West Fargo, North Dakota and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1952880908
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKAITLYN SUPPACredential: CASE MANAGER
Location Address1520 2ND AVE NWWest Fargo, ND 58078-1161
Mailing Address1547 30th Ave SMoorhead, MN 56560-5149 · (218) 287-4338
Phone(218) 287-4338
Sole ProprietorNo
Enumeration DateAugust 10, 2018
Last NPPES UpdateApril 19, 2023
NPPES CertifiedApril 19, 2023
✔ NPI 1952880908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedTechnician, OtherTaxonomy 247200000X
1520 2ND AVE NW, West Fargo, ND 58078
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR DOUVIER
Specialist
1520 2ND AVE NW
WEST FARGO, ND 58078
Cass County (218) 287-4338
MEGAN ERICKSON
Specialist
1520 2ND AVE NW
WEST FARGO, ND 58078
Cass County (218) 287-4338
STEVEN BLAIR
Specialist
1520 2ND AVE NW
WEST FARGO, ND 58078
Cass County (218) 287-4338
MIGUEL PEREZ
Behavior Analyst
1520 2ND AVE NW
WEST FARGO, ND 58078
Cass County (218) 287-4338
BRITTANY SLAMA
Social Worker
1520 2ND AVE NW
WEST FARGO, ND 58078
Cass County (218) 287-4338
SOPHIA LANDREVILLE
Behavior Technician
1520 2ND AVE NW
WEST FARGO, ND 58078
Cass County (218) 287-4338
CHEYENNE CHRISTIE
Behavior Technician
1520 2ND AVE NW
WEST FARGO, ND 58078
Cass County (218) 287-4338
GERICKA CHARBONNEAU
Behavior Technician
1520 2ND AVE NW
WEST FARGO, ND 58078
Cass County (218) 287-4338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlyn Suppa's NPI number?

The NPI number for Kaitlyn Suppa is 1952880908. It was assigned to this individual provider in the NPPES registry on August 10, 2018.

Where is Kaitlyn Suppa located?

Kaitlyn Suppa practices at 1520 2nd Ave NW, West Fargo, ND 58078. The listed phone number is (218) 287-4338.

What is Kaitlyn Suppa's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kaitlyn Suppa was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.