Jennifer R. Sunderland, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

CNM00121 Issued in RI

Practice address

1 Warren Way
Providence, RI 02905-5000

Phone

(401) 444-0530

Fax

(401) 444-0423

NPI assigned

Aug 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Providence Community Health Centers Inc.Group PAC ID 9335050962, 90 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jsunderland59268@hcnetwork.direct-ci.com

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

• The Providence Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Providence, RI
  • NPI 1053313593
  Medicare reassignment Care Compare group NPD
• Southern New England Healthcare for Women, LLC

  • Obstetrics & Gynecology Physician
  • Pawtucket, RI
  • NPI 1699058826
  Medicare reassignment NPD
• The Providence Community Health Centers Inc.

  • Federally Qualified Health Center (FQHC)
  • Providence, RI
  • NPI 1558650986
  NPD (past)
• Women'S Health Affiliates, Inc.

  • Obstetrics & Gynecology Physician
  • Brockton, MA
  • NPI 1396783742
  NPD (past)

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1265624274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ALLENS AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029055010",
            "telephone_number": "401-444-0400",
            "fax_number": "401-444-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WARREN WAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029055000",
            "telephone_number": "401-444-0530",
            "fax_number": "401-444-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDERLAND",
        "first_name": "JENNIFER",
        "middle_name": "R.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "271247",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "RI",
            "license": "CNM00121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsunderland59268@HCNetwork.direct-ci.com",
            "affiliation": "N",
            "address_1": "239 Cranston St",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029072406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Summit Ri SNF, LLC
• Felicia Wang Sun, MD, MPHIL
• Kevin Sun, MD
• Tianying Sun
• Nisha Sundararaj, LMHC
• Keith B Sunderlin, PAC
• Kristen Angell Sundin, LICSW
• Selim Suner, MD
• Chien-Ren James Sung, MD
• Vivian Sung, MD, MPH

• Advanced Practice Midwife in Providence, RI
• Providers in Providence, RI by specialty
• Advanced Practice Midwife in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.