Sunan R Waters Sutton

Primary specialty

Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X

License

261066 Issued in OR

Practice address

104 E Virginia St
Stayton, OR 97383-1751

Phone

(503) 769-3384

NPI assigned

Mar 25, 2009

Last updated

Mar 25, 2009By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1821230665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E VIRGINIA ST",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831751",
            "telephone_number": "503-769-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E VIRGINIA ST",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831751",
            "telephone_number": "503-769-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS SUTTON",
        "first_name": "SUNAN",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "OR",
            "license": "261066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Keith Walker, RRT
• Lyndan Nam Walle, DMD
• Nicholas John Wanderscheid, PHARMD
• Craig S Ward, LD
• Courtney Marie Washington, PHARMD
• Susan J Wells, DPT
• Samantha Ann Wilson
• Brandy Marie Wimer
• David J Wright, MD
• Eric S Yao, MD

• Speech/Language/Hearing Specialist/Technologist in Stayton, OR
• Providers in Stayton, OR by specialty
• Speech/Language/Hearing Specialist/Technologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.