Shareen Sutherland, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11004189 Issued in FL

Practice address

3619 Lake Center Dr
Mount Dora, FL 32757-2364

Phone

(352) 383-8222

NPI assigned

Oct 1, 2019

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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JEJFAA

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.

• Adult Medicine of Lake County Inc

  • Internal Medicine Physician
  • Mount Dora, FL
  • NPI 1851450209
  NPD
• Elite Imaging LLC

  • Diagnostic Radiology Physician
  • Orange Park, FL
  • NPI 1346516853
  NPD (past)

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1285275206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1896 LAKE HILL CIRCLE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 LAKE CENTER DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572364",
            "telephone_number": "352-383-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "SHAREEN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wynbeth Sumayang, ARNP, FNP-C
• Sunshine Behavioral and Mental Health Center
• Sunshine Recovery Network, Inc
• Supradent Inc
• Surgery Center of Mount Dora, LLC
• Alethea Swearine, MA, BCBA
• Grace Tavarez
• Kevin Thomas Taylor, MD
• Wendy Taylor, LMFT
• Niiya Terry

• Family Nurse Practitioner in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.