Active NPI
Rong None Sun, FNP
- Family Nurse Practitioner
- Ottumwa, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A133590
- Practice address
- 1001 Pennsylvania Ave
Ottumwa Regional Health Center, Emergency Room
Ottumwa, IA 52501-6427 - Phone
- (641) 684-2323
- Fax
- (641) 683-2888
- NPI assigned
- May 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 041436577 | IL | |
| Family Nurse Practitioner | 363LF0000X | A133590 | IA | Primary |
| Family Nurse Practitioner | 363LF0000X | 2012042885 | MO |
Addresses
Primary practice location
1001 Pennsylvania Ave
Ottumwa Regional Health Center, Emergency Room
Ottumwa, IA 52501-6427
Mailing address
1001 Pennsylvania Ave
Ottumwa Regional Health Center, Emergency Room
Ottumwa, IA 52501-6427
Phone (641) 684-2323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, IL, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041436577 | IL | MD | Nurse Practitioner |
| A133590 | IA | MD | Family Nurse Practitioner |
| 2012042885 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thoreau Clinic | Current | Accepting new patients | |
| DHHS PHS Naihs Crownpoint Hospital | Current | Accepting new patients | |
| Pueblo Pintado Clinic | Current | Accepting new patients | |
| Southeastern Emergency Services of Memphis, P.C. | Nurse Practitioner | Current | Accepting new patients |
| Eagle Butte Indian Health Service Hospital | Current | Accepting new patients | |
| Mayo Clinic Health System-Lake City | Current | Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
32021 County 24 Blvd
Cannon Falls, MN 55009
Phone (507) 263-6000
500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321
701 Hewitt Blvd
Red Wing, MN 55066
Phone (507) 377-6285
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
Organizations & group practices 6
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.
-
- Public Health or Welfare Agency
- Eagle Butte, SD
- NPI 1558395848
TX
-
- Multi-Specialty Clinic/Center
- Lake City, MN
- NPI 1164463659
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1164454450
IL, Nurse Practitioner
-
- Clinic/Center
- Cuba, NM
- NPI 1023051133
-
- Clinic/Center
- Thoreau, NM
- NPI 1679516702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447891200000",
"number": "1285071480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 PENNSYLVANIA AVE",
"address_2": "OTTUMWA REGIONAL HEALTH CENTER, EMERGENCY ROOM",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525016427",
"telephone_number": "641-684-2323",
"fax_number": "641-683-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 PENNSYLVANIA AVE",
"address_2": "OTTUMWA REGIONAL HEALTH CENTER, EMERGENCY ROOM",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525016427",
"telephone_number": "641-684-2323",
"fax_number": "641-683-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUN",
"first_name": "RONG",
"middle_name": "NONE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-29",
"last_updated": "2015-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "041436577",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A133590",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2012042885",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.