Active NPI
Erin Pamela Sutton, M.D.
- Child & Adolescent Psychiatry Physician
- Bend, OR
National Provider Identifier
1609132810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 2017-01760
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2017-01760 | NC | MD | Psychiatry Physician |
| MD187709 | OR | MD | Child & 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.