Inger Alice Camille Sullenger, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

11585632-3102 Issued in UT

Practice address

477 23Rd St
Ogden, UT 84401-1507

Phone

(801) 399-7250

Fax

(801) 399-7254

NPI assigned

Dec 5, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cami.sullenger.p1@direct.weber-morganhd.nextgenshare.com

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.

• County of Weber

  • Public Health or Welfare Agency
  • Ogden, UT
  • NPI 1972515492
  NPD

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1780395335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 23RD ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011507",
            "telephone_number": "801-399-7250",
            "fax_number": "801-399-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 23RD ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011507",
            "telephone_number": "801-399-7250",
            "fax_number": "801-399-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLENGER",
        "first_name": "INGER",
        "middle_name": "ALICE CAMILLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "11585632-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Stucky, LCSW
• Earl Wesley Stuker, D.O.
• Alex Suarez, LCSW
• Sawyer Sudweeks
• Trent Suggs, M.D.
• Lauren Sullivan
• Melody L Sullivan
• Timothy John Sullivan III, M.D.
• Clarke Summers, MD
• Sundance Physical Therapy LLC

• Registered Nurse in Ogden, UT
• Providers in Ogden, UT by specialty
• Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.