NPIMap

Individual provider Active NPI

Veronica M Sutherland, DO

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1154393528
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO1503 Issued in NV
Practice address
6630 S McCarran Blvd Ste 9
Reno, NV 89509-6145
Phone
(775) 204-4000
Fax
(775) 402-4001
NPI assigned
Feb 1, 2006
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3788 AZ
Family Medicine Physician 207Q00000X DO1503 NV Primary
Obstetrics Physician 207VX0000X 3788 AZ

Addresses

Primary practice location

6630 S McCarran Blvd Ste 9
Reno, NV 89509-6145

Mailing address

5975 S Los Altos Pkwy
Sparks, NV 89436-7699
Phone (775) 204-4000

Other practice location 1

18653 Wedge Pkwy
Suite 300
Reno, NV 89511-3323
Phone (775) 770-7210

Other identifiers 1

IdentifierTypeStateIssuer
717605MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100326000287 NV Practitioner - Family Practice 2769496082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Medical Group Hicks PCGroup PAC ID 4385059625, 34 clinicians

Practice addresses (Care Compare)

5975 S Los Altos Pkwy
Sparks, NV 89436-7699
Phone (775) 204-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Mary's Medical Group Inc CurrentSince Feb 17, 2013 Accepting new patients
Saint Marys Medical Group Inc. Current Accepting new patients
Pinnacle Medical Group Hicks PC Family Medicine CurrentSince Jan 25, 2021 Accepting new patients
Saint Marys Medical Group Inc. CurrentSince Feb 17, 2013 Accepting new patients
Scott Hanson Pac Past Accepting new patients
Pinetop Medical Associates LTD Family Medicine Past Accepting new patients

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

15 McCabe Dr
Ste 200
Reno, NV 89511
Phone (775) 982-2862

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

18653 Wedge Pkwy
Ste 300
Reno, NV 89511
Phone (775) 770-7210

411 W 6th St
Reno, NV 89503
Phone (775) 770-3209

6275 Sharlands Ave
Ste B15
Reno, NV 89523

6275 Sharlands Ave
Ste B1518
Reno, NV 89523

645 N Arlington Ave
Ste 660
Reno, NV 89503
Phone (775) 746-3338

6630 S McCarran Blvd
Ste 9
Reno, NV 89509
Phone (725) 829-1212

699 Sierra Rose Dr
Reno, NV 89511
Phone (775) 689-3737

699 Sierra Rose Dr
Ste A
Reno, NV 89511
Phone (775) 689-3737

8040 S Virginia St
Ste 4
Reno, NV 89511
Phone (775) 770-7480

5975 S Los Altos Pkwy
Sparks, NV 89436

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: veronica.sutherland.p1@direct.smmg.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1154393528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 S LOS ALTOS PKWY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367699",
            "telephone_number": "775-204-4000",
            "fax_number": "775-204-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 S MCCARRAN BLVD STE 9",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096145",
            "telephone_number": "775-204-4000",
            "fax_number": "775-402-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18653 Wedge Pkwy",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895113323",
            "country_code": "US",
            "telephone_number": "775-770-7210",
            "fax_number": "775-770-7211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "VERONICA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3788",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO1503",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "AZ",
            "license": "3788",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "717605",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.