Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386317550 Individual Practitioner Female Practitioner

Sandra Michelle Sudduth , APRN

Nurse Practitioner - Primary Care • West Haven, CT

Professional Overview & Biography Verified Profile Summary

Sandra Sudduth, APRN is a certified Nurse Practitioner - Primary Care practicing in West Haven, CT. With approximately 5 years of clinical experience since completing medical education in 2021, Sandra Sudduth delivers high-quality medical care to the local community at 950 CAMPBELL AVE.

Sandra Sudduth is affiliated with Impact Health Pc and does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

950 Campbell Ave

West Haven, CT 065162770

Telephone 2039325711
Associated Practice Facility / Clinic
🏢 West Haven Vamc Facility NPI 1144278649

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in West Haven, CT

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -0.7 yrs vs City Avg
City Avg: 5.7 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
11 Specialists

Practicing in West Haven, CT (175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sudduth (5 Years) 5 Yrs
West Haven Specialty Average (5.7 Years) 5.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-08-22
Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License CT 9818

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License CT E52898

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Hospital & Practice Group Affiliations

Impact Health Pc

240 Indian River Rd, Orange, CT 064773649

Phone: 2034973861

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Leslie Tanquilut , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1003081902

Doctor of Pharmacy (Pharm.D.)

Dr. Nicholas Vissicchio , PhD

Psychologist - Clinical

NPI 1003598087

Doctor of Philosophy (Ph.D.)

Devon Mackay , LMSW

Social Worker

NPI 1003618471

Licensed Master Social Worker

NPI 1003908229
Dr. John Beauvais , PhD

Psychologist - Clinical

NPI 1003908781

Doctor of Philosophy (Ph.D.)

Tracey Pascarella , RD

Dietitian, Registered

NPI 1003910332

Registered Dietitian

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 22, 2021

Registered at 950 CAMPBELL AVE, WEST HAVEN, CT 065162770 (Tel: 2039325711)

👤
Provider Name / Credentials Updated August 22, 2021

Recorded as SANDRA SUDDUTH, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2021

Nurse Practitioner (License #9818 in CT)

NPI Profile Active July 26, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 26, 2021

Registered at 6 MONHEGE PATH, MARLBOROUGH, CT 064471125 (Tel: 2039159519)

📍
Updated Business Mailing Address July 26, 2021

Registered at 6 MONHEGE PATH, MARLBOROUGH, CT 064471125 (Tel: 2039159519)

👤
Provider Name / Credentials Updated July 26, 2021

Recorded as SANDRA SUDDUTH, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2021

Registered Nurse (License #E52898 in CT)

🟢
Initial NPI Registration & Enumeration July 26, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386317550
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2021
Last Update: August 22, 2021
Sole Proprietor: No

Mailing Address

6 Monhege Path

Marlborough, CT 064471125

Phone: 2039159519

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.