Bessie-Jane Marie Sully

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

200942608RN Issued in OR

Practice address

263 W Exchange St
Astoria, OR 97103-6142

Phone

(503) 389-6332

Fax

(503) 207-6950

NPI assigned

Jun 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1467297291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 W EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971036142",
            "telephone_number": "503-389-6332",
            "fax_number": "503-207-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 W EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971036142",
            "telephone_number": "503-389-6332",
            "fax_number": "503-207-6950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6902 SE Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Milwaukie",
            "state": "OR",
            "postal_code": "972672148",
            "country_code": "US",
            "telephone_number": "503-910-4939",
            "fax_number": "503-564-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLY",
        "first_name": "BESSIE-JANE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "200942608RN",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "200942608RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Stefanelli, M.D.
• Stephen W Houghtaling
• Steven C. Scruggs OD PC
• Debora Anne Stout, MN, PMHNP
• Kate Nicole Stubbs, OD
• Ivan Sultan, MPT
• Sunset Empire Transportation
• Paige Brittany Sutton
• Michaela Marie Swearengin-Cory, RN
• Ashlyn Swerdloff, DO

• Registered Nurse in Astoria, OR
• Providers in Astoria, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.