Caitlin Janelle Sunderman, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2014025935 Issued in MO

Practice address

1004 Carondelet Drive
Suite 330
Kansas City, MO 64114

Phone

(816) 941-6400

Fax

(816) 941-6404

NPI assigned

Sep 3, 2014

Last updated

Aug 1, 2017By the provider in NPPES

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

Other names 1

• Mrs. Caitlin Janelle Phillips Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: caitlin.sunderman.1@30069.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/5617/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Independence Pediatrics, P.C. Inc.

  • Specialist
  • Independence, MO
  • NPI 1962532283
  NPD (past)
• Kansas City Pediatrics, LLC

  • Pediatric Adolescent Medicine Physician
  • Kansas City, MO
  • NPI 1619078912
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1134529589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DRIVE",
            "address_2": "SUITE 330",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64114",
            "telephone_number": "816-941-6400",
            "fax_number": "816-941-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DRIVE",
            "address_2": "SUITE 330",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64114",
            "telephone_number": "816-941-6400",
            "fax_number": "816-941-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDERMAN",
        "first_name": "CAITLIN",
        "middle_name": "JANELLE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2014025935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "PHILLIPS",
            "middle_name": "JANELLE",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob Daniel Sumner, PHARM.D.
• Joshua Sumowski, RN
• Grace Sumption, PHARMD
• Belinda Sun, MD
• Mark Sundahl, MD
• Caylen Sunderman, LMFT
• Amanda Jean Sundling, D.O.
• Lucy Claire Sundrup, PHARMD
• Sunkissed Chiropractic
• Emilee Jaye Suntken, AUD.

• Physician Assistant in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.