Ravy S Sun, RN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

1111476 Issued in TX

Practice address

3413 Spectrum Blvd
Richardson, TX 75082-9705

Phone

(972) 884-4160

NPI assigned

Oct 26, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1083378996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 HEATHERWOOD LOOP",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750484193",
            "telephone_number": "617-669-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 SPECTRUM BLVD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750829705",
            "telephone_number": "972-884-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "RAVY",
        "middle_name": "S",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MA",
            "license": "RN2311466",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1111476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue Clark,LPC PLLC
• Issiah Thomas Sullivan, D.C.
• Summit Experiences, Inc.
• Holly Sumrall, M.S. CCC/SLP
• Mei Sun, AC
• Rongna Sun, APRN-CNP
• William Sun, D.C.
• Navid Wazir Sundrani, PHARM. D.
• Jeou-Der Sung, O.D.
• Sunrise Anesthesia LLC

• Primary Care Nurse Practitioner in Richardson, TX
• Providers in Richardson, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.