Active NPI
Tom Sutherland, ARNP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Wenatchee, WA
National Provider Identifier
1619390648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP60705521
- Practice address
- 1230 Monitor St
Wenatchee, WA 98801-3534 - Phone
- (509) 300-1221
- NPI assigned
- Jan 28, 2014
- Last updated
- Dec 8, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619390648 | Other | NPI |
Other names 1
- Thomas Sutherland
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP60705521 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Spokane, WA
- NPI 1669924916
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.