Individual provider Active NPI

Nataliya Viktorovna Sundina, PA

  • Physician Assistant
  • Franconia, NH
National Provider Identifier
1275814063
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0993 Issued in NH
Practice address
155 Main Street
Franconia, NH 03580
Phone
(603) 823-7078
NPI assigned
Sep 7, 2011
Last updated
Jan 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2142 AK
Physician Assistant 363A00000X 0993 NH Primary

Addresses

Primary practice location

155 Main Street
Franconia, NH 03580

Mailing address

155 Main St
Franconia, NH 03580
Phone (907) 581-1202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150323000582 NH Practitioner - Physician Assistant 4789901208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weeks Medical CenterGroup PAC ID 2769461284, 71 clinicians

Practice addresses (Care Compare)

141 Corliss LN
Colebrook, NH 03576-3206
Phone (603) 237-5899

173 Middle St
Lancaster, NH 03584-3508
Phone (603) 788-4911

6 Duranleau St
West Stewartstown, NH 03597-4403
Phone (603) 246-3400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2142AKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Weeks Medical Center CurrentSince May 19, 2025 Accepting new patients
Ammonoosuc Community Health Services, Inc CurrentSince Jan 19, 2015 Accepting new patients
Ammonoosuc Community Health Services Inc CurrentSince Jan 19, 2015 Accepting new patients
Androscoggin Valley Hospital Inc Past Accepting new patients

Locations

173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911

25 Mount Eustis Rd
Littleton, NH 03561
Phone (603) 444-2464

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1275814063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MAIN ST",
            "city": "FRANCONIA",
            "state": "NH",
            "postal_code": "03580",
            "telephone_number": "907-581-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MAIN STREET",
            "city": "FRANCONIA",
            "state": "NH",
            "postal_code": "03580",
            "telephone_number": "603-823-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDINA",
        "first_name": "NATALIYA",
        "middle_name": "VIKTOROVNA",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "2142",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franconia, NH

Sources for this page

Verify at the official NPI Registry.