Jennifer Kathryn Sutherland, MS EDS

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0054 Issued in KY

Practice address

101 Wind Haven Dr
Suite 202
Nicholasville, KY 40356-8035

Phone

(859) 277-0077

Fax

(866) 266-0695

NPI assigned

Jan 24, 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

Other names 1

• Mrs. Jennifer Sutherland Henson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1285789701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 BETHEL RD",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "40356",
            "telephone_number": "859-433-9526",
            "fax_number": "866-266-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WIND HAVEN DR",
            "address_2": "SUITE 202",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568035",
            "telephone_number": "859-277-0077",
            "fax_number": "866-266-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "JENNIFER",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "MS EDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "0054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HENSON",
            "middle_name": "SUTHERLAND",
            "prefix": "MRS.",
            "credential": "MS EDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Psychologist in Nicholasville, KY
• Providers in Nicholasville, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.