Marilyn S Sutherland, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F301378 Issued in NY

Practice address

465 N Main St
JDK Behavorial Health Center
Penn Yan, NY 14527-1069

Phone

(315) 531-2400

NPI assigned

Sep 21, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1275729410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N MAIN ST",
            "address_2": "JDK BEHAVORIAL HEALTH CENTER",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271069",
            "telephone_number": "315-531-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N MAIN ST",
            "address_2": "JDK BEHAVORIAL HEALTH CENTER",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271069",
            "telephone_number": "315-531-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "MARILYN",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F301378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Travis Stowell, NP
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• Wayne Steven Strouse, MD
• Ginger Sullivan, L. AC
• Sunshine Therapy PT & OT, PLLC
• Caroline Swarthout
• David W Szabatura, R.PH.
• Allison Teed, FNP
• Morgan Tennies
• Loni S. Terpolilli, OTR/L

• Adult Health Nurse Practitioner in Penn Yan, NY
• Providers in Penn Yan, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.