Individual provider Active NPI

Erin Pamela Sutton, M.D.

  • Child & Adolescent Psychiatry Physician
  • Bend, OR
National Provider Identifier
1609132810
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
2017-01760 Issued in NC
Practice address
3247 NW Fairway Heights Dr
Bend, OR 97703
Phone
(347) 486-2707
Fax
(541) 227-2354
NPI assigned
Apr 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2017-01760 NC
Child & Adolescent Psychiatry Physician 2084P0804X MD187709 OR
Student in an Organized Health Care Education/Training Program 390200000X
Child & Adolescent Psychiatry Physician 2084P0804X 2017-01760 NC Primary

Addresses

Primary practice location

3247 NW Fairway Heights Dr
Bend, OR 97703

Mailing address

3247 NW Fairway Heights Dr
Bend, OR 97703-5491
Phone (347) 486-2707

Other practice location 1

1440 Environ Way Fl 4
Chapel Hill, NC 27517-4433
Phone (919) 636-5240

Other practice location 2

1440 Environ Way Fl 4
Chapel Hill, NC 27517-4433
Phone (919) 636-5240

Other practice location 3

2160 S 1st Ave
Maywood, IL 60153-3328
Phone (708) 216-5059

Other practice location 4

371 SW Upper Terrace Dr Ste 3
Bend, OR 97702-1560
Phone (347) 486-2707

Other practice location 5

22022 Nelson Rd
Bend, OR 97701-9790
Phone (347) 486-2707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 12, 2024 through Jul 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2017-01760NCMDPsychiatry Physician
MD187709ORMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1609132810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3247 NW FAIRWAY HEIGHTS DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977035491",
            "telephone_number": "347-486-2707",
            "fax_number": "541-227-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3247 NW FAIRWAY HEIGHTS DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97703",
            "telephone_number": "347-486-2707",
            "fax_number": "541-227-2354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 Environ Way Fl 4",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275174433",
            "country_code": "US",
            "telephone_number": "919-636-5240",
            "fax_number": "919-457-0130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1440 Environ Way Fl 4",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275174433",
            "country_code": "US",
            "telephone_number": "919-636-5240",
            "fax_number": "919-457-0130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2160 S 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "601533328",
            "country_code": "US",
            "telephone_number": "708-216-5059",
            "fax_number": "708-216-5446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "371 SW Upper Terrace Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977021560",
            "country_code": "US",
            "telephone_number": "347-486-2707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22022 Nelson Rd",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977019790",
            "country_code": "US",
            "telephone_number": "347-486-2707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "ERIN",
        "middle_name": "PAMELA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2017-01760",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OR",
            "license": "MD187709",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "2017-01760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.