Moses Etim Sunday

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN2304251 Issued in MA

Practice address

119 Harvard St
119 Harvard Street
Brockton, MA 02301-5264

Phone

(774) 240-8742

NPI assigned

Mar 16, 2016

Sex

Male

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

• Moses Etim Sunday Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1417318643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HARVARD STREET",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023010230",
            "telephone_number": "774-240-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 HARVARD ST",
            "address_2": "119 HARVARD STREET",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015264",
            "telephone_number": "774-240-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDAY",
        "first_name": "MOSES",
        "middle_name": "ETIM",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2304251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOSES",
            "last_name": "SUNDAY",
            "middle_name": "ETIM",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sean David Sullivan, PTA/L
• William J Sullivan
• Joanna Ogilvy Sumcizk, LCSW
• Deborah D Summers, PNP
• Garmai Suah Sumo
• Wei Chin Sung, MD
• Sunrise Behavioral Health Services LLC
• Erika Suomala
• John Hale Suter Jr.
• Kimberly Sutler

• Registered Nurse in Brockton, MA
• Providers in Brockton, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.