Individual provider Active NPI

Tom Sutherland, ARNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wenatchee, WA
National Provider Identifier
1619390648
Registry record updated Dec 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60705521 Issued in WA
Practice address
1230 Monitor St
Wenatchee, WA 98801-3534
Phone
(509) 300-1221
NPI assigned
Jan 28, 2014
Last updated
Dec 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60705521 WA Primary

Addresses

Primary practice location

1230 Monitor St
Wenatchee, WA 98801-3534

Mailing address

1230 Monitor St
Wenatchee, WA 98801-3534
Phone (509) 300-1221

Other practice location 1

203 N Washington St
Suite 200
Spokane, WA 99201-0233
Phone (509) 473-9300

Other identifiers 1

IdentifierTypeStateIssuer
1619390648OtherNPI

Other names 1

  • Thomas Sutherland Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP60705521WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Mental Health, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544227200000",
    "number": "1619390648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 MONITOR ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013534",
            "telephone_number": "509-300-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 MONITOR ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013534",
            "telephone_number": "509-300-1221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 N Washington St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992010233",
            "country_code": "US",
            "telephone_number": "509-473-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "TOM",
        "credential": "ARNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-28",
        "last_updated": "2018-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60705521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1619390648",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "SUTHERLAND",
            "credential": "ARNP, PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2018; 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.