Active NPI
Sunny Tenille Patterson, RN, RNFA, CNOR
- Physician Assistant
- Little Rock, AR
National Provider Identifier
1174808299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- R55348
- Practice address
- 5800 W 10TH St
Suite 205
Little Rock, AR 72204-1752 - Phone
- (501) 661-0077
- Fax
- (501) 664-2749
- NPI assigned
- Oct 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | R55348 | AR | Primary |
Addresses
Primary practice location
5800 W 10TH St
Suite 205
Little Rock, AR 72204-1752
Mailing address
5800 W 10TH St
Suite 205
Little Rock, AR 72204-1752
Phone (501) 661-0077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R55348 | AR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1174808299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 W 10TH ST",
"address_2": "SUITE 205",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722041752",
"telephone_number": "501-661-0077",
"fax_number": "501-664-2749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 W 10TH ST",
"address_2": "SUITE 205",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722041752",
"telephone_number": "501-661-0077",
"fax_number": "501-664-2749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "SUNNY",
"middle_name": "TENILLE",
"credential": "RN, RNFA, CNOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-20",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AR",
"license": "R55348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.