Leilani Anne Sutherland, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95015849 Issued in CA

Practice address

109 N El Camino Real # 9
Encinitas, CA 92024-2802

Phone

(619) 293-7233

NPI assigned

Jan 24, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611446400000",
    "number": "1174113039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10441 HARLOW CIR UNIT 36",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081871",
            "telephone_number": "760-415-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N EL CAMINO REAL # 9",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242802",
            "telephone_number": "619-293-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "LEILANI",
        "middle_name": "ANNE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP NURSING LICENSE",
            "identifier": "95015849",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamalini Sundaram, MD
• Susannah Sunderland, L.AC
• Renjit Allen Sundharadas, M.D.
• Sunil Rayan, M.D., Inc.
• Sunland Home Foundation
• Rachel Sutherlin
• Waltraud Ruth Svoboda, L. AC.
• Kelly A Swain, PSYD
• Charles Holbrook Swan
• Kristy Swanson

• Family Nurse Practitioner in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.