Active NPI
Kathryn C Sutherland, MSN
- Nurse Practitioner
- Oak Harbor, WA
National Provider Identifier
1760699359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30000848
- Practice address
- 3159 Goldie Rd
Oak Harbor, WA 98277-2703 - Phone
- (360) 679-3404
- NPI assigned
- May 16, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30000848 | WA | Primary |
Addresses
Primary practice location
3159 Goldie Rd
Oak Harbor, WA 98277-2703
Mailing address
2001 E Madison St
Seattle, WA 98122-2959
Phone (206) 328-7722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8600363 | Medicaid | WA |
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
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30000848 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of Western Washington | Past | Accepting new patients | |
| Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Non-Surgical Family Planning Clinic/Center
- Seattle, WA
- NPI 1083700686
-
- Ambulatory Family Planning Facility
- Oak Harbor, WA
- NPI 1194877662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1760699359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 E MADISON ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981222959",
"telephone_number": "206-328-7722",
"fax_number": "206-720-4657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3159 GOLDIE RD",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982772703",
"telephone_number": "360-679-3404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTHERLAND",
"first_name": "KATHRYN",
"middle_name": "C",
"credential": "MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30000848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8600363",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.