Virgie Kathleen Sundahl, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R72458 Issued in AR

Practice address

609 W 3Rd St
Imboden, AR 72434-9099

Phone

(870) 869-1500

Fax

(870) 869-1505

NPI assigned

Nov 13, 2009

Last updated

Nov 13, 2009By 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Cornerstone Community Counseling Corp

  • Psychologist
  • Imboden, AR
  • NPI 1346463353
  NPD (past)

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1245567197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W 3RD ST",
            "city": "IMBODEN",
            "state": "AR",
            "postal_code": "724349099",
            "telephone_number": "870-869-1500",
            "fax_number": "870-869-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W 3RD ST",
            "city": "IMBODEN",
            "state": "AR",
            "postal_code": "724349099",
            "telephone_number": "870-869-1500",
            "fax_number": "870-869-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDAHL",
        "first_name": "VIRGIE",
        "middle_name": "KATHLEEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R72458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169349795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Michelle Saylors
• Sloan-Hendrix School District
• Austin Smith, MHPP
• Spring River Clinic, LLC
• Demi Stephens
• Judy Kay Swinea, OTR
• Misty Walker
• Emerald Donna Welch, MHPP
• Brenda Elaine West, RN
• Jackie R White, MD

• Registered Nurse in Imboden, AR
• Providers in Imboden, AR by specialty
• Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.