Sue Ann Sunderland, RN

Primary specialty

Ophthalmic Registered NurseTaxonomy code 163WX1100X

License

RN054207 Issued in AZ

Practice address

1530 W Glendale Ave Ste 105
Phoenix, AZ 85021-8578

Phone

(602) 995-3395

NPI assigned

Aug 17, 2021

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

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1063188381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 W YORKSHIRE DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087556",
            "telephone_number": "623-694-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 W GLENDALE AVE STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218578",
            "telephone_number": "602-995-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDERLAND",
        "first_name": "SUE ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ophthalmic",
            "state": "AZ",
            "license": "RN054207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micki B Sund, CNM
• Sundance Optical
• Sundance Optical Clinic Inc
• Tara Sue Sundem, NNP
• Shirazali G Sunderji, M.D.
• Gleniss Sundheimer
• Rebecca Helane Sunenshine, MD
• Sunflower Adult Day Care
• Sunflower Health
• Sunflower Healthcare LLC

• Registered Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.