Individual provider Active NPI

Sunday D Henry, M.D.

  • Family Medicine Physician
  • Pullman, WA
National Provider Identifier
1689613606
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
60279667 Issued in WA
Practice address
1125 SE Washington
PO Box 642302
Pullman, WA 99164-2302
Phone
(509) 335-3575
Fax
(509) 335-6223
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 60279667 WA Primary

Addresses

Primary practice location

1125 SE Washington
PO Box 642302
Pullman, WA 99164-2302

Mailing address

PO Box 642302
Pullman, WA 99164-2302
Phone (509) 335-3575

Other practice location 1

825 SE Bishop Blvd Ste 401
Pullman, WA 99163-5517
Phone (509) 336-7720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240603001918 WA Practitioner - Family Practice 6901830553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60279667WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District #1-a of Whitman County CurrentSince Jul 1, 2024 Accepting new patients
Public Hospital District #1-a of Whitman County Past Accepting new patients
Washington State University Family Medicine Past Accepting new patients

Locations

840 SE Bishop Blvd
Ste 103
Pullman, WA 99163
Phone (509) 336-7300

825 SE Bishop Blvd
Ste 401
Pullman, WA 99163
Phone (509) 336-7720

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1689613606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642302",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991642302",
            "telephone_number": "509-335-3575",
            "fax_number": "509-335-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 SE WASHINGTON",
            "address_2": "PO BOX 642302",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991642302",
            "telephone_number": "509-335-3575",
            "fax_number": "509-335-6223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 SE Bishop Blvd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Pullman",
            "state": "WA",
            "postal_code": "991635517",
            "country_code": "US",
            "telephone_number": "509-336-7720",
            "fax_number": "509-715-2131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "SUNDAY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "60279667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pullman, WA

Sources for this page

Verify at the official NPI Registry.