Jessica Erin Sutherland, DNP, PMHNP, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10862079-4405 Issued in UT

Practice address

1929 N Aaron Dr Ste I
Tooele, UT 84074-8112

Phone

(435) 850-1823

Fax

(435) 850-1911

NPI assigned

Jul 18, 2022

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

Credentials

Registered Nurse

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.

• Above Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tooele, UT
  • NPI 1093641326
  NPD (past) Authorized official

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1609501329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6476 N FLAT TOP DR",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840741220",
            "telephone_number": "801-897-9432",
            "fax_number": "435-850-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 N AARON DR STE I",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840748112",
            "telephone_number": "435-850-1823",
            "fax_number": "435-850-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "JESSICA",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "10862079-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keri B Stone
• Gail Strindberg, MD
• Alexis Sullivan
• Amandamae Marguerite Summers, CMHC
• Sunset Counseling Services, LLC
• Ceilly Sutton
• Jennifer Glick Swan
• Melisa Jo Swapp
• Adakai Talker
• Hyrum Oscar Tapusoa

• Psychiatric/Mental Health Nurse Practitioner in Tooele, UT
• Providers in Tooele, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.