Ruth Ann Sunde, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60776428 Issued in WA

Practice address

92D Medical Group/Sgow
701 Hospital Loop, Suite 259
Fairchild AFB, WA 99011

Phone

(509) 247-5409

NPI assigned

Feb 26, 2019

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

Other names 1

• Ms. Ruth Ann Niemeyer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1669939732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92D MEDICAL GROUP/SGOW",
            "address_2": "701 HOSPITAL LOOP, SUITE 259",
            "city": "FAIRCHILD AFB",
            "state": "WA",
            "postal_code": "99011",
            "telephone_number": "509-247-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92D MEDICAL GROUP/SGOW",
            "address_2": "701 HOSPITAL LOOP, SUITE 259",
            "city": "FAIRCHILD AFB",
            "state": "WA",
            "postal_code": "99011",
            "telephone_number": "509-247-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDE",
        "first_name": "RUTH",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60776428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "NIEMEYER",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peggy Smith, ARNP
• Ariel Kaye Soderberg, LMT
• Gene J Sonnenburg Jr., IDMT
• George Walker Stayer, MD
• Michael Thomas Stevens
• Sunland Optical Co., Inc.
• Pamela Jan Tilaro, N.P.
• Alicia Louise Tschirhart, M.D.
• John Edward Vickman, M.D
• Marc Palmones Villano, IDMT

• Clinical Social Worker in Fairchild AFB, WA
• Providers in Fairchild AFB, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.