Ann Sutherland

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

03055 Issued in IA

Practice address

1060 Gaffney Rd Ste 7440
Commander USA Meddac Ak McUc MMD
Ft Wainwright, AK 99703-7440

Phone

(907) 353-5418

Fax

(907) 353-4847

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Northwest Iowa Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spencer, IA
  • NPI 1356198675
  NPD (past)
• Northwest Iowa Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spencer, IA
  • NPI 1689669459
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548314883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD STE 7440",
            "address_2": "COMMANDER USA MEDDAC AK MCUC MMD",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997037440",
            "telephone_number": "907-353-5418",
            "fax_number": "907-353-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD STE 7440",
            "address_2": "COMMANDER USA MEDDAC AK MCUC MMD",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997037440",
            "telephone_number": "907-353-5418",
            "fax_number": "907-353-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "03055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Louise Stammers, RN
• Megan Stayer, RDH
• Cynthia Louise Stinnett
• Thomas S Strain
• Jane A Sublette
• Susan J Tate, MD
• Brett Terbeek, PA-C
• Kyle Thomas, PA-C
• Laura Anne Thompson, RN
• Michael W. Thwing, MD

• Mental Health Counselor in Ft Wainwright, AK
• Providers in Ft Wainwright, AK by specialty
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.